清晨好,您是今天最早来到科研通的研友!由于当前在线用户较少,发布求助请尽量完整的填写文献信息,科研通机器人24小时在线,伴您科研之路漫漫前行!

Trial of labor after cesarean, vaginal birth after cesarean, and the risk of uterine rupture: an expert review

医学 子宫破裂 产科 剖宫产 阴道分娩 引产 怀孕 催产素 子宫 内科学 遗传学 生物
作者
Uma Deshmukh,Annalies Denoble,Moeun Son
出处
期刊:American Journal of Obstetrics and Gynecology [Elsevier]
卷期号:230 (3): S783-S803 被引量:3
标识
DOI:10.1016/j.ajog.2022.10.030
摘要

The decision to pursue a trial of labor after cesarean delivery is complex and depends on patient preference, the likelihood of successful vaginal birth after cesarean delivery, assessment of the risks vs benefits of trial of labor after cesarean delivery, and available resources to support safe trial of labor after cesarean delivery at the planned birthing center. The most feared complication of trial of labor after cesarean delivery is uterine rupture, which can have catastrophic consequences, including substantial maternal and perinatal morbidity and mortality. Although the absolute risk of uterine rupture is low, several clinical, historical, obstetrical, and intrapartum factors have been associated with increased risk. It is therefore critical for clinicians managing patients during trial of labor after cesarean delivery to be aware of these risk factors to appropriately select candidates for trial of labor after cesarean delivery and maximize the safety and benefits while minimizing the risks. Caution is advised when considering labor augmentation and induction in patients with a previous cesarean delivery. With established hospital safety protocols that dictate close maternal and fetal monitoring, avoidance of prostaglandins, and careful titration of oxytocin infusion when induction agents are needed, spontaneous and induced trial of labor after cesarean delivery are safe and should be offered to most patients with 1 previous low transverse, low vertical, or unknown uterine incision after appropriate evaluation, counseling, planning, and shared decision-making. Future research should focus on clarifying true risk factors and identifying the optimal approach to intrapartum and induction management, tools for antenatal prediction, and strategies for prevention of uterine rupture during trial of labor after cesarean delivery. A better understanding will facilitate patient counseling, support efforts to improve trial of labor after cesarean delivery and vaginal birth after cesarean delivery rates, and reduce the morbidity and mortality associated with uterine rupture during trial of labor after cesarean delivery. The decision to pursue a trial of labor after cesarean delivery is complex and depends on patient preference, the likelihood of successful vaginal birth after cesarean delivery, assessment of the risks vs benefits of trial of labor after cesarean delivery, and available resources to support safe trial of labor after cesarean delivery at the planned birthing center. The most feared complication of trial of labor after cesarean delivery is uterine rupture, which can have catastrophic consequences, including substantial maternal and perinatal morbidity and mortality. Although the absolute risk of uterine rupture is low, several clinical, historical, obstetrical, and intrapartum factors have been associated with increased risk. It is therefore critical for clinicians managing patients during trial of labor after cesarean delivery to be aware of these risk factors to appropriately select candidates for trial of labor after cesarean delivery and maximize the safety and benefits while minimizing the risks. Caution is advised when considering labor augmentation and induction in patients with a previous cesarean delivery. With established hospital safety protocols that dictate close maternal and fetal monitoring, avoidance of prostaglandins, and careful titration of oxytocin infusion when induction agents are needed, spontaneous and induced trial of labor after cesarean delivery are safe and should be offered to most patients with 1 previous low transverse, low vertical, or unknown uterine incision after appropriate evaluation, counseling, planning, and shared decision-making. Future research should focus on clarifying true risk factors and identifying the optimal approach to intrapartum and induction management, tools for antenatal prediction, and strategies for prevention of uterine rupture during trial of labor after cesarean delivery. A better understanding will facilitate patient counseling, support efforts to improve trial of labor after cesarean delivery and vaginal birth after cesarean delivery rates, and reduce the morbidity and mortality associated with uterine rupture during trial of labor after cesarean delivery.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
松松完成签到 ,获得积分10
24秒前
矿泉水完成签到 ,获得积分10
25秒前
黄花菜完成签到 ,获得积分10
25秒前
寻道图强应助verbal2005采纳,获得30
34秒前
wuludie完成签到,获得积分10
34秒前
坟里唱情歌完成签到 ,获得积分10
50秒前
三十四画生完成签到 ,获得积分10
1分钟前
axiao完成签到,获得积分10
1分钟前
axiao发布了新的文献求助30
1分钟前
summer完成签到 ,获得积分10
1分钟前
6188完成签到 ,获得积分10
1分钟前
Jason完成签到 ,获得积分10
1分钟前
bookgg完成签到 ,获得积分10
1分钟前
sugarballer完成签到 ,获得积分10
1分钟前
zmaifyc完成签到 ,获得积分10
2分钟前
xuli21315完成签到 ,获得积分10
2分钟前
不知道完成签到,获得积分10
2分钟前
闪闪的谷梦完成签到 ,获得积分10
2分钟前
甜乎贝贝完成签到 ,获得积分10
2分钟前
拉萨小医生完成签到,获得积分10
2分钟前
科研通AI2S应助凶狠的盛男采纳,获得10
2分钟前
Legend_完成签到 ,获得积分10
2分钟前
勤劳的颤完成签到 ,获得积分10
2分钟前
Zylk驳回了Arjun应助
2分钟前
深情的凝云完成签到 ,获得积分10
2分钟前
大个应助babulao采纳,获得10
3分钟前
3分钟前
jdz完成签到 ,获得积分10
3分钟前
Kevin Li发布了新的文献求助30
3分钟前
你博哥完成签到 ,获得积分10
3分钟前
4分钟前
4分钟前
Kevin Li发布了新的文献求助10
4分钟前
无花果应助科研通管家采纳,获得10
4分钟前
4分钟前
drzhiluo完成签到,获得积分20
4分钟前
潇洒的涵双完成签到,获得积分10
4分钟前
大个应助adeno采纳,获得10
4分钟前
慧妞完成签到 ,获得积分10
5分钟前
mengmenglv完成签到 ,获得积分0
5分钟前
高分求助中
The late Devonian Standard Conodont Zonation 2000
The Lali Section: An Excellent Reference Section for Upper - Devonian in South China 1500
Nickel superalloy market size, share, growth, trends, and forecast 2023-2030 1000
Smart but Scattered: The Revolutionary Executive Skills Approach to Helping Kids Reach Their Potential (第二版) 1000
Mantiden: Faszinierende Lauerjäger Faszinierende Lauerjäger 800
PraxisRatgeber: Mantiden: Faszinierende Lauerjäger 800
A new species of Coccus (Homoptera: Coccoidea) from Malawi 500
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3244791
求助须知:如何正确求助?哪些是违规求助? 2888424
关于积分的说明 8252888
捐赠科研通 2556909
什么是DOI,文献DOI怎么找? 1385460
科研通“疑难数据库(出版商)”最低求助积分说明 650176
邀请新用户注册赠送积分活动 626294