期刊
JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE
卷 35, 期 23, 页码 4485-4490出版社
TAYLOR & FRANCIS LTD
DOI: 10.1080/14767058.2020.1852211
关键词
First stage of labor; cesarean delivery; non-progressive labor; second stage of labor; trial of labor after cesarean
This study found that women with prior cesarean delivery due to first stage non-progressive labor are more likely to develop hypertensive disorders of pregnancy and have a repeated cesarean delivery in subsequent pregnancies, while those with prior cesarean delivery due to second stage non-progressive labor are more likely to experience preterm birth in subsequent pregnancies.
Background: Cesarean delivery is a prevalent procedure worldwide, and an established risk factor for subsequent pregnancies. Aims: To examine if a prior cesarean delivery due to first vs. second stage non-progressive labor carries different risk profiles for adverse outcomes in the subsequent pregnancy. Materials and methods: A retrospective cohort study, based on data accumulated over the years 1988-2013 at the Soroka University Medical Center. We compared pregnancy complications and adverse perinatal outcomes in subsequent delivery following a cesarean delivery due to first vs. second stage non-progressive labor. Multiple logistic regression models were constructed. Results: There were 3828 subsequent deliveries of patients who underwent prior cesarean delivery due to first vs. second stage non-progressive labor, 2791 (72.91%) and 1037 (27.09%), respectively. Patients with a prior cesarean delivery due to first stage non-progressive labor were more likely to have hypertensive disorders of pregnancy (7.4% vs 3.8% in first vs. second stage non-progressive labor, respectively, p = .002), and repeated cesarean delivery at the subsequent pregnancy (70% vs 62% in first vs. second stage non-progressive labor, respectively, p < .001). Patients with prior cesarean delivery due to second stage non-progressive labor were more likely to have preterm birth (10% vs 6.8% in second vs. first stage non-progressive labor, respectively, p = .001). Prior cesarean delivery due to first stage non-progressive labor was independently associated with a recurrent cesarean delivery in the subsequent pregnancy. In addition, prior cesarean delivery due to second stage non-progressive labor was independently associated with preterm birth. Conclusions: Cesarean delivery due to first stage non-progressive labor carries higher rates of hypertensive disorders of pregnancy and recurrent cesarean delivery in the subsequent pregnancy. Prior cesarean delivery due to second stage non-progressive labor carries higher rates of subsequent preterm birth.
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