Does dystocia during labor pose a risk factor for another non-progressive labor during the subsequent delivery?

Tal Tobias, Eyal Sheiner, Michael Friger, Ruslan Sergienko, Avi Harlev

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Objective: To establish whether failure to progress during labor poses a risk factor for another non-progressive labor (NPL) during the subsequent delivery. Methods: A retrospective cohort study including singleton pregnancies that failed to progress during the previous labor and resulted in a cesarean section (CS) was conducted. Parturients were classified into three groups for both previous and subsequent labors: CS due to NPL stage I, stage II and an elective CS as a comparison group. Results: Of 202462 deliveries, 10654 women met the inclusion criteria: 3068 women were operated due to NPL stage I and 1218 due to NPL stage II. The comparison group included 6368 women. Using a multivariable logistic regression models, NPL stage I during the previous delivery was found as an independent risk factor for another NPL stage I in the subsequent labor (adjusted odds ratio [OR]=2.9; 95% confidence interval [CI]=2.4-3.7; p<0.001). Similarly, NPL at stage I or II was found to be an independent risk factor for a NPL stage II during the subsequent labor (adjusted OR=1.4; 95% CI=1.1-2.1; p=0.033; adjusted OR=5.3; 95% CI=3.7-7.5; p<0.001; respectively). Conclusion: A previous CS due to a NPL is an independent risk factor for another NPL in the subsequent pregnancy and for recurrent cesarean delivery.

Original languageEnglish
Pages (from-to)1099-1103
Number of pages5
JournalJournal of Maternal-Fetal and Neonatal Medicine
Volume28
Issue number9
DOIs
StatePublished - 1 Jun 2015
Externally publishedYes

Keywords

  • Cesarean section
  • Dystocia
  • Non-progressive labor
  • Subsequent delivery

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Fingerprint

Dive into the research topics of 'Does dystocia during labor pose a risk factor for another non-progressive labor during the subsequent delivery?'. Together they form a unique fingerprint.

Cite this