Outcomes of induction of labor after one prior cesarean.

Outcomes of induction of labor after one prior cesarean. Research Abstract Details 

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Outcomes of induction of labor after one prior cesarean. Abstract Text:

William A Grobman,Sharon Gilbert,Mark B Landon,Catherine Y Spong,Kenneth J Leveno,Dwight J Rouse,Michael W Varner,Atef H Moawad,Steve N Caritis,Margaret Harper,Ronald J Wapner,Yoram Sorokin,Menachem Miodovnik,Marshall Carpenter,Mary J O'Sullivan,Baha M Sibai,Oded Langer,John M Thorp,Susan M Ramin,Brian M Mercer,

OBJECTIVE: To compare pregnancy outcomes in women with one prior low-transverse cesarean delivery after induction of labor with pregnancy outcomes after spontaneous labor. METHODS: This study is an analysis of women with one prior low-transverse cesarean and a singleton gestation who underwent a trial of labor and who were enrolled in a 4-year prospective observational study. Pregnancy outcomes were evaluated according to whether a woman underwent spontaneous labor or labor induction. RESULTS: Among the 11,778 women studied, vaginal delivery was less likely after induction of labor both in women without and with a prior vaginal delivery (51% versus 65%, P<.001; and 83% versus 88%, P<.001). An increased risk of uterine rupture after labor induction was found only in women with no prior vaginal delivery (1.5% versus 0.8%, P=.02; and 0.6% versus 0.4%, P=.42). Blood transfusion, venous thromboembolism, and hysterectomy were also more common with induction among women without a prior vaginal delivery. No measure of perinatal morbidity was associated with labor induction. An unfavorable cervix at labor induction was not associated with any adverse outcomes except an increased risk of cesarean delivery. CONCLUSION: Induction of labor in the study population is associated with an increased risk of cesarean delivery in all women with an unfavorable cervix, a statistically significant, albeit clinically small, increase in maternal morbidity in women with no prior vaginal delivery, and no appreciable increase in perinatal morbidity. LEVEL OF EVIDENCE: II.

Outcomes of induction of labor after one prior cesarean. Publishing Authors By Initials

WA Grobman,S Gilbert,MB Landon,CY Spong,KJ Leveno,DJ Rouse,MW Varner,AH Moawad,SN Caritis,M Harper,RJ Wapner,Y Sorokin,M Miodovnik,M Carpenter,MJ O'Sullivan,BM Sibai,O Langer,JM Thorp,SM Ramin,BM Mercer,

For similar surgical procedures, operative: obstetric surgical procedures: delivery, obstetric: vaginal birth after cesarean research abstracts see: surgical procedures, operative: obstetric surgical procedures: delivery, obstetric: vaginal birth after cesarean research

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Outcomes of induction of labor after one prior cesarean. Journal Published:

PUBLICATION TYPE: Research Support, N.I.H., Extr

Journal: Obstetrics and gynecology

VOLUME: 109

Page Numbers: 262-9

Journal Abbreviation:

ISSN: 0029-7844

DAY: 3

MONTH: Feb

YEAR: 2007

Outcomes of induction of labor after one prior cesarean. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 401101

Outcomes of induction of labor after one prior cesarean. Keywords Mesh Terms:

KEYWORDS: Vaginal Birth after Cesarean

MESH TERMS: epidemiology

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Grant and Affiliation Information for Outcomes of induction of labor after one prior cesarean.

AFFILIATION: Departments of Obstetrics and Gynecology at Northwestern University, 333 East Superior Street, Chicago, IL 60611, USA.

Country: United States

AGENCY: United States NICHD

GRANT: HD 40560

ACRONYM: HD

MEDLINETA: Obstet Gynecol

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