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Database - Alliance francophone pour l'accouchement respecté (AFAR)

Description of this bibliographical database (AFAR website)
Currently 3059 records
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Created on : 01 Feb 2006
Modified on : 01 Dec 2007

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Bibliographical entry (without author) :

Delivery after previous cesarean section: a risk evaluation. OG, 93, p.332

Author(s) :


Year of publication :


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Résumé (français)  :

Abstract (English)  :

Pooled data from Switzerland. 457,825 deliveries of which 29,046 had history of previous CS. There was a trial of labor rate of 65.5% for 17,613 trials. The success rate overall was 73.3%, 75% for spontaneous labor and 65.6% for induced labor. The following were sig. more frequent in the previous CS group: maternal fever, thromboembolic events, bleeding d/t previa, uterine rupture (92 cases), perinatal mortality (118 cases including 6 associated with uterine rupture). The risk of uterine rupture was higher in the TOL gp versus the repeat CS gp but all other risks were lower in the TOL gp. In the TOL group, the uterine rupture group (70) more often had induced labor (24.9% versus 13.9% in the non rupture gp), etc.

Conc.: A history of CS sig. elevates the risks for mother and child with future deliveries. Nonetheless, a TOL after PCS is safe. Induction of labor, epidural anesthesia, failure to progress, and abnormal FHT pattern are all associated with a failure of TOL and uterine rupture.

Sumário (português)  :

Comments :

Fiche importée de avec l’aide de Ken Turkowski, septembre 2005

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Argument (English):

Argumento (português):

Keywords :

➡ vaginal birth after caesarean ; c-section/caesarean ; induction of labor ; post-term pregnancy

Author of this record :

Ken Turkowski — 01 Feb 2006

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