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001-es BibID:	BIBFORM023050
Első szerző:	Gyámfi Cynthia
Cím:	Increased success of trial of labor after previous vaginal birth after Cesarean / Gyamfi C., Juhasz G., Gyamfi P., Stone J. L.
Dátum:	2004
Megjegyzések:	To estimate whether a history of a previoussuccessful vaginal birth after cesarean delivery (VBAC)has an effect on a subsequent VBAC attempt.METHODS: A chart review of cases identi?ed from theInternational Classi?cation of Diseases, 9th Revision(ICD-9) codes and cases identi?ed in the logbooks on Laborand Delivery yielded 1,216 cases of attempted VBAC from1996 to 2000. Data gathered from these cases includedhistory of previous successful VBAC. Variables of interestincluded previous successful normal spontaneous vaginaldelivery, history of diabetes, labor induction, and recurrent indication for cesarean delivery.RESULTS: Of the 336 patients with a history of one or moreprevious successful VBAC attempts, 94.6% had a subsequentsuccessful VBAC, whereas 70.5% of the remaining 880 patients were successful (P < 0.001). For those patientswith one or more previous successful normal spontaneousvaginal deliveries, 87.8% had a successful VBAC, whereas75.6% were successful without this history (P=0.001). Thepresence of diabetes and a recurrent indication for cesarean delivery both decreased VBAC success and were independently associated with poor outcome (P < 0.001). Patients with a history of previous VBAC were 7 times more likely to have a subsequent VBAC success (odds ratio 7.40, 95% con?dence interval 4.51?12.16; P < 0.001). Those with ahistory of previous normal spontaneous vaginal deliverywere not more likely to have a successful VBAC when theother variables were controlled. Induction did not affectVBAC outcome.CONCLUSION: A history of a previous successful VBAC increases the likelihood for success with future attempts. Maternal diabetes and history of a recurrent indication for cesarean delivery are poor prognosticators for successful trial of labor.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban VBAC trial of labor
Megjelenés:	Obstetrics and Gynecology. - 104 : 4 (2004), p. 715-719. -
További szerzők:	Juhász Alpár Gábor (1973-) (szülész-nőgyógyász, gyermeknőgyógyász) Gyámfi Phyllis Stone, Joanne L.
Internet cím:	DOI Intézményi repozitóriumban (DEA) tárolt változat
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