TY - JOUR
T1 - Second stage disorders in patients following a previous cesarean section
T2 - Vacuum versus repeated cesarean section
AU - Kessous, Roy
AU - Tirosh, Dan
AU - Weintraub, Adi Y.
AU - Benshalom-Tirosh, Neta
AU - Sergienko, Ruslan
AU - Sheiner, Eyal
PY - 2013/6/1
Y1 - 2013/6/1
N2 - Objective: To investigate whether vacuum extraction due to failure of labor to progress (dystocia) during the second stage in a delivery following a previous cesarean section (CS) is related to increased adverse maternal and perinatal outcomes as compared with repeated CS. Study design: A retrospective cohort study of pregnancy and delivery outcomes of patients in their second deliveries attempting a vaginal birth after cesarean (VBAC) following one CS was conducted. Patients who delivered by vacuum extraction were compared with patients who underwent a repeated CS for failure of labor to progress during the second stage. Results: During the study period, 319 patients with a previous CS suffered from a prolonged second stage of labor in their second delivery. Of these, 184 underwent vacuum extraction and 135 patients underwent a repeated CS. No significant differences in relevant pregnancy complications such as perineal lacerations, uterine rupture, and post-partum hemorrhage and perinatal outcomes were noted between the groups. There were no cases of perinatal mortality in our study. Conclusion: When managing second stage labor disorders, vacuum extraction does not seem to be an unsafe procedure in patients with a previous CS.
AB - Objective: To investigate whether vacuum extraction due to failure of labor to progress (dystocia) during the second stage in a delivery following a previous cesarean section (CS) is related to increased adverse maternal and perinatal outcomes as compared with repeated CS. Study design: A retrospective cohort study of pregnancy and delivery outcomes of patients in their second deliveries attempting a vaginal birth after cesarean (VBAC) following one CS was conducted. Patients who delivered by vacuum extraction were compared with patients who underwent a repeated CS for failure of labor to progress during the second stage. Results: During the study period, 319 patients with a previous CS suffered from a prolonged second stage of labor in their second delivery. Of these, 184 underwent vacuum extraction and 135 patients underwent a repeated CS. No significant differences in relevant pregnancy complications such as perineal lacerations, uterine rupture, and post-partum hemorrhage and perinatal outcomes were noted between the groups. There were no cases of perinatal mortality in our study. Conclusion: When managing second stage labor disorders, vacuum extraction does not seem to be an unsafe procedure in patients with a previous CS.
KW - Cesarean section
KW - Prolonged second stage
KW - Vacuum extraction
KW - Vaginal birth after cesarean
UR - http://www.scopus.com/inward/record.url?scp=84878111253&partnerID=8YFLogxK
U2 - 10.1007/s00404-012-2688-5
DO - 10.1007/s00404-012-2688-5
M3 - Article
C2 - 23274791
AN - SCOPUS:84878111253
SN - 0932-0067
VL - 287
SP - 1075
EP - 1079
JO - Archives of Gynecology and Obstetrics
JF - Archives of Gynecology and Obstetrics
IS - 6
ER -
