Fetal and Neonatal Morbidity and Mortality Following Delivery After Previous Cesarean
Section snippets
Mortality
The ability to provide accurate estimates of risk of death to the fetus in women contemplating a TOLAC versus ERCD is as important as providing patients with estimates of the risk of maternal death. Understanding the risk of death to the fetus in pregnancy and birth, regardless of mode of delivery, requires examining perinatal mortality and its subsets of fetal and neonatal mortality.
Perinatal mortality, which includes fetal and neonatal death up to 28 days,8 is of paramount concern when
Need for Resuscitation
A newborn’s first indication of well-being relies on his or her ability to transition at the time of delivery. Thus, the need for positive-pressure ventilation (or bag-and-mask ventilation) and the Apgar scores have often been used as surrogate outcome measures of perinatal morbidity. Three studies15, 18, 19 compared the frequency of bag-and-mask ventilation (BMV) in the neonate when women underwent TOLAC compared with ERCD. In the study by Kamath and colleagues,19 neonates delivered by ERCD
Summary
One and a half million women have cesarean deliveries in the United States each year, representing about a third of all births. The cost of these cesarean deliveries amounts to about $7.8 billion annually, almost half of the childbirth-related hospitalization expenses.2 The appropriate and safe use of cesarean and VBAC, therefore, is not only an individual patient and provider level concern but also one of national importance. The burgeoning number of primary cesarean deliveries only amplifies
References (37)
- et al.
The impact of labor at term on measures of neonatal outcome
Am J Obstet Gynecol
(2005) Alveolar fluid clearance in developing lungs and its role in neonatal transition
Clin Perinatol
(1999)- et al.
Respiratory transition in infants delivered by cesarean section
Semin Perinatol
(2006) - et al.
Physiology of fetal lung fluid clearance and the effect of labor
Semin Perinatol
(2006) - et al.
Evidence-based maternity care: what it is and what it can achieve
(2008) Healthcare Cost and Utilization Project (HCUP)
(2009)Conservatism in obstetrics
N Y Med J
(1916)ACOG Practice bulletin no. 115: Vaginal birth after previous cesarean delivery
Obstet Gynecol
(2010)- et al.
Cesarean section delivery rates: United States, 1981
Am J Public Health
(1983) - et al.
Vaginal birth after cesarean: new insights
Evid Rep Technol Assess (Full Rep)
(2010)
Vaginal birth after cesarean: new insights on maternal and neonatal outcomes
Obstet Gynecol
Vaginal birth after cesarean section: X-ray pelvimetry at term is informative
J Perinat Med
Neonatal morbidity and decision-delivery interval in patients with uterine rupture
J Obstet Gynaecol Can
Risk of perinatal death associated with labor after previous cesarean delivery in uncomplicated term pregnancies
JAMA
Risk of uterine rupture and adverse perinatal outcome at term after cesarean delivery
Obstet Gynecol
Fetal and perinatal mortality, United States, 2005
Natl Vital Stat Rep
Vaginal birth after cesarean: clinical risk factors associated with adverse outcome
Am J Obstet Gynecol
Neonatal morbidity after elective repeat cesarean section and trial of labor
Pediatrics
Cited by (9)
The Association between Hospital Frequency of Labor after Cesarean and Outcomes in California
2020, Women's Health IssuesCitation Excerpt :For instance, the positive associations between high LAC frequency and both infection and PPH are concerning, especially given the recent national policy focus on maternal morbidity and mortality (Creanga, Syverson, Seed, & Callaghan, 2017). When LAC is successful, it generally carries fewer risks than PRCDs (Cahill et al., 2006; Go et al., 2011; Guise et al., 2004; Guise et al., 2010; Macones et al., 2005). LAC resulting in unplanned cesarean delivery, however, represents the highest-risk scenario of the three groups (American College of Obstetricians and Gynecologists, 2017; Gregory et al., 2008).
Vaginal birth after cesarean: neonatal outcomes and United States birth setting
2017, American Journal of Obstetrics and GynecologyCitation Excerpt :One in three pregnant women in the United States delivers her child via CD36; those who desire future fertility will face the decision to deliver via repeat CD or to seek TOLAC. Planned repeat CD and TOLAC each incur important risks to a pregnant or laboring woman,37,38 to her fetus or neonate,9 and to future children.8,37 Study results add to previous work that shows that a growing share of US women are choosing VBAC in out-of-hospital settings.6,28
Benefits and harms to the newborn of maternal attempt at trial of labor after prior caesarean versus elective repeat caesarean delivery
2012, Journal de Gynecologie Obstetrique et Biologie de la ReproductionOutcomes of Trial of Labor versus Elective Repeat Cesarean Delivery in Women with a Previous Cesarean Delivery
2022, Bahrain Medical BulletinTrial of labour after caesarean (TOLAC) is associated with increased risk for instrumental delivery
2017, Journal of Obstetrics and GynaecologyRisk of neonatal mortality according to gestational age after elective repeat cesarean delivery
2016, Archives of Gynecology and Obstetrics
Financial Disclosure: This work was funded by the Agency for Healthcare Research and Quality, Contract No. HHSA 290-2007-10057-I, Task order No. 4 for the Office of Medical Applications of Research at the National Institutes of Health.