Delivery after previous cesarean:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
2011
|
| Schriftenreihe: | Clinics in perinatology
38,2 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XVI S., S. [179]-338 Ill., graph. Darst. |
| ISBN: | 9781455704859 |
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Datensatz im Suchindex
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| adam_text | Titel: Delivery after previous cesarean
Autor: Signore, Caroline
Jahr: 2011
Contents
Foreword: The Tug of War between Vaginal and Cesarean Births xiii
Lucky Jain
Preface xv
Caroline Signore and Mark B. Landon
Recent Trends and Patterns in Cesarean and Vaginal Birth After Cesarean (VBAC)
Deliveries in the United States 179
Marian MacDorman, Eugene Declercq, and Fay Menacker
Cesarean delivery is the most common major surgical procedure for
women in the United States, with 1.4 million surgeries annually. In 2008,
nearly one-third (32.3%) of US births were by cesarean delivery. Cesarean
delivery rates have increased rapidly in the United States in recent years
because of an increasing primary cesarean delivery rate and a declining
vaginal birth after cesarean (VBAC) rate. In 2007, the VBAC rate was
8.3% in a 22-state reporting area. The US VBAC rate was lowest among
14 industrialized countries; 3 countries had VBAC rates greater than 50%.
Nonclinical Factors Affecting Women s Access to Trial of Labor After Cesarean
Delivery 193
Lisa M. Korst, Kimberly D. Gregory, Moshe Fridman, and Jeffrey P. Phelan
The use of trial of labor after cesarean (TOLAC) has declined in the last
decade, and the clinical risks of TOLAC remain low. Nonclinical factors
continue to affect women s access to TOLAC. This article considers 5 cat-
egories of factors that seem to be influencing rates of TOLAC and vaginal
birth after cesarean: opinion leaders and professional guidelines, hospital
facilities and cesarean availability, reimbursement for providing TOLAC,
medical liability, and patient-level factors. An evidence base and strategies
to provide guidance to create a safe environment for vaginal birth after
cesarean are needed. Obstetric information systems are critical to this
effort.
VBAC: A Medicolegal Perspective 217
Clarissa Bonanno, Marilee Clausing, and Richard Berkowitz
History has always been a series of pendulum swings, and there is perhaps
no better example in obstetrics than that of vaginal birth after cesarean.
Vaginal birth after cesarean (VBAC) rates rose steadily in the early
1990s. However, VBAC rates have declined dramatically over recent
years, while the cesarean delivery rate has continued to rise unabated.
Many physicians and hospitals are no longer offering trial of labor after
cesarean, largely because of medicolegal concerns. This article explores
the medical and legal risks of trial of labor after cesarean.
An Ethical Framework for the Informed Consent Process for Trial of Labor After
Cesarean Delivery
Frank A. Chervenak and Laurence B. McCullough
In 2010, a National Institutes of Health Consensus Panel and the American
College of Obstetricians and Gynecologists issued updated statements on
trial of labor after cesarean delivery (TOLAC). This article presents an
ethical framework for the informed consent process for TOLAC. Three
conclusions are reached. For women with one previous low transverse
incision, TOLAC and elective repeat cesarean delivery should be offered.
Obstetricians should recommend against TOLAC when a pregnant woman
has had a previous classical incision. TOLAC after two previous low trans-
verse incisions may be offered provided that the informed consent process
presents the uncertainties of the evidence.
Delivery After Prior Cesarean: Success Rate and Factors
Anthony L. Shanks and Alison G. Cahill
Cesarean delivery rates in the United States have reached an all-time high.
The current rate of 31 % is 6 times higher than the 1970s rate. Many factors
including physician preference and hospital accessibility account for this
trend. A decreased vaginal birth after cesarean (VBAC) rate and an
increased repeat cesarean rate have important consequences for women
in future pregnancies. Because of these considerations, VBAC has been
an important issue within the obstetric community for over 3 decades.
Identifying the best candidates for VBAC using factors available to the
obstetrician can increase the VBAC success rate while minimizing mater-
nal morbidity.
Can a Vaginal Birth After Cesarean Delivery be a Normal Labor and Birth? Lessons
from Midwifery Applied to Trial of Labor After a Previous Cesarean Delivery
Tekoa L. King
Women who undergo a trial of labor after a previous cesarean delivery
(TOLAC) have special needs prenatally and during the intrapartum period.
Counseling about the choice of TOLAC versus an elective repeat cesarean
delivery involves complex statistical concepts. Prenatal counseling that is
patient centered, individualized, and presented in a way that addresses
the health literacy and health numeracy of the recipient encompasses
best practices that support patient decision making. Evidence-based
practices during labor that support vaginal birth and increase patient sat-
isfaction are of special value for this population.
The Influence of Intrapartum Factors on Risk of Uterine Rupture and Successful
Vaginal Birth After Cesarean Delivery
Rosalie M. Grivell, Merlyn P. Barreto, and Jodie M. Dodd
Cesarean delivery is common and increasing over time. A prior cesarean
birth increases the risk of both elective and emergency cesarean births
and uterine rupture in a subsequent pregnancy. A range of factors, includ-
ing labor characteristics, may influence the risk of these outcomes in the
next pregnancy. Intrapartum factors associated with successful vaginal
birth and lower risk of uterine rupture include the spontaneous onset of
labor and advanced cervical dilatation. In contrast, need for induction
and augmentation of labor are both factors associated with an increased
likelihood of unsuccessful vaginal birth and risk of uterine rupture.
Uterine Rupture During a Trial of Labor After Previous Cesarean Delivery 277
Carolyn M. Zelop
Uterine rupture, which involves complete separation of the uterine wall, oc-
curs in about 1 % of those attempting vaginal birth after cesarean. Because
uterine rupture is one of the most significant complications of a trial of labor
(TOL) after previous cesarean, identifying those at increased risk of uterine
rupture is paramount to the safety of a TOL after previous cesarean birth. It
seems that both antepartum demographic characteristics and intrapartum
factors modify the risk of uterine rupture. The ability to reliably predict an
individual s a priori risk for intrapartum uterine rupture remains a major
area of investigation.
Multiple Repeat Cesareans and the Threat of Placenta Accreta: Incidence, Diagnosis,
Management 285
Andrew D. Hull and Thomas R. Moore
Placenta accreta is a significant source of obstetric morbidity and mortal-
ity. Its incidence is increasing as a direct consequence of the increasing
cesarean section rate, which reflects increased rates of maternal obesity,
increased numbers of multiple gestations secondary to assisted reproduc-
tive technology, physician concern about litigation for adverse obstetric
outcome, and a decline in the use of operative vaginal delivery for both
cephalic and breech presentations. Optimum management for most cases
requires elective cesarean hysterectomy, ideally performed at about
34 weeks gestation. A multidisciplinar/ approach produces the best
outcomes.
Delivery After Prior Cesarean: Maternal Morbidity and Mortality 297
Yvonne W. Cheng, Karen B. Eden, Nicole Marshall, Leonardo Pereira,
Aaron B. Caughey, and Jeanne-Marie Guise
Nearly 1 in 3 pregnant women in the United States undergo cesarean. This
trend is contrary to the national goal of decreasing cesarean delivery in low-
risk women. The decline in vaginal birth after cesarean (VBAC) contributes to
the continual increase in cesarean deliveries. Prior cesarean delivery is the
most common indication for cesarean and accounts for more than one-third
of all cesareans. The appropriate use and safety of cesarean and VBAC are
of concern not only at the individual patient and clinician level but they also
have far-reaching public health and policy implications at the national level.
Fetal and Neonatal Morbidity and Mortality Following Delivery After Previous
Cesarean 311
Mitzi Donabel A. Go, Cathy Emeis, Jeanne-Marie Guise, and
Robert L. Schelonka
This article examines data from a recent systematic evidence review on
term deliveries conducted for the National Institutes of Health Consensus
Conference sponsored by the Agency for Healthcare Research and Quality
on vaginal birth after caesarean, from a meta-analysis of associated peri-
natal outcomes, and subsequent publications that meet stringent quality
review standards. We present a summary of fetal and neonatal outcomes
emphasizing information that clinicians and patients need to make deci-
sions regarding mode of delivery after prior cesarean and look for areas
where future studies may provide important insights.
Cesarean Versus Vaginal Delivery: Long-term Infant Outcomes and the Hygiene
Hypothesis 321
Josef Neu and Jona Rushing
Concurrent with the trend of increasing cesarean delivery numbers, there
has been an epidemic of both autoimmune diseases and allergic diseases.
Several theories have emerged suggesting that environmental influences
are contributing to this phenomenon, most notably, the hygiene hypothe-
sis. This article provides background about the human microbiota and its
relationship to the developing immune system as well as the relationship of
mode of delivery on the colonization of the infant intestine, development of
the immune system, and subsequent childhood allergies, asthma, and
autoimmune diseases.
Index 333
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| spelling | Delivery after previous cesarean guest eds. Caroline Signore ... Philadelphia [u.a.] Saunders 2011 XVI S., S. [179]-338 Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Clinics in perinatology 38,2 Kaiserschnitt (DE-588)4163027-0 gnd rswk-swf Geburt (DE-588)4019589-2 gnd rswk-swf Geburt (DE-588)4019589-2 s Kaiserschnitt (DE-588)4163027-0 s DE-604 Signore, Caroline Sonstige (DE-588)101363165X oth Clinics in perinatology 38,2 (DE-604)BV000003382 38,2 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=024163426&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
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| title | Delivery after previous cesarean |
| title_auth | Delivery after previous cesarean |
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