Mode of delivery in women with antepartum fetal death and prior cesarean delivery

Mildred M. Ramirez; Sharon Gilbert; Mark B. Landon; Dwight J. Rouse; Catherine Y. Spong; Michael W. Varner; Steve N. Caritis; Ronald J. Wapner; Yoram Sorokin; Menachem Miodovnik; Marshall Carpenter; Alan M. Peaceman; Mary J. O'Sullivan; Baha M. Sibai; Oded Langer; John M. Thorp; Brian M. Mercer

doi:10.1055/s-0030-1254548

Mode of delivery in women with antepartum fetal death and prior cesarean delivery

Mildred M. Ramirez, Sharon Gilbert, Mark B. Landon, Dwight J. Rouse, Catherine Y. Spong, Michael W. Varner, Steve N. Caritis, Ronald J. Wapner, Yoram Sorokin, Menachem Miodovnik, Marshall Carpenter, Alan M. Peaceman, Mary J. O'Sullivan, Baha M. Sibai, Oded Langer, John M. Thorp, Brian M. Mercer

Research output: Contribution to journal › Article › peer-review

25 Scopus citations

Abstract

We describe obstetric outcomes in a group of patients with prior cesarean delivery (CD) presenting with an intrauterine fetal demise (IUFD). A secondary analysis of an observational study of women with prior CD was performed. All antepartum singleton pregnancies with a prior CD and IUFD ≥ 20 weeks' gestation or 500 g were evaluated. Two hundred nine patients met inclusion criteria for analysis. The mean gestational age±standard deviation at delivery was 31.3±6.5 weeks. The trial of labor rate was 75.6% (158/209), and the vaginal birth after cesarean (VBAC) success rate was 86.7%. Labor induction or augmentation occurred in 83.3% of attempted VBAC. Uterine rupture occurred in five women (2.4%), and in 3.4% of those being induced but none of these required hysterectomy. Women with a history of previous CD and an IUFD often undergo trial of labor with a high VBAC success rate. Uterine rupture complicates 2.4% of such cases.

Original language	English (US)
Pages (from-to)	825-829
Number of pages	5
Journal	American Journal of Perinatology
Volume	27
Issue number	10
DOIs	https://doi.org/10.1055/s-0030-1254548
State	Published - 2010
Externally published	Yes

Keywords

Vaginal birth after cesarean
fetal demise
induction of labor

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Obstetrics and Gynecology

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10.1055/s-0030-1254548

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Ramirez, M. M., Gilbert, S., Landon, M. B., Rouse, D. J., Spong, C. Y., Varner, M. W., Caritis, S. N., Wapner, R. J., Sorokin, Y., Miodovnik, M., Carpenter, M., Peaceman, A. M., O'Sullivan, M. J., Sibai, B. M., Langer, O., Thorp, J. M., & Mercer, B. M. (2010). Mode of delivery in women with antepartum fetal death and prior cesarean delivery. American Journal of Perinatology, 27(10), 825-829. https://doi.org/10.1055/s-0030-1254548

Ramirez, MM, Gilbert, S, Landon, MB, Rouse, DJ, Spong, CY, Varner, MW, Caritis, SN, Wapner, RJ, Sorokin, Y, Miodovnik, M, Carpenter, M, Peaceman, AM, O'Sullivan, MJ, Sibai, BM, Langer, O, Thorp, JM & Mercer, BM 2010, 'Mode of delivery in women with antepartum fetal death and prior cesarean delivery', American Journal of Perinatology, vol. 27, no. 10, pp. 825-829. https://doi.org/10.1055/s-0030-1254548

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abstract = "We describe obstetric outcomes in a group of patients with prior cesarean delivery (CD) presenting with an intrauterine fetal demise (IUFD). A secondary analysis of an observational study of women with prior CD was performed. All antepartum singleton pregnancies with a prior CD and IUFD ≥ 20 weeks' gestation or 500 g were evaluated. Two hundred nine patients met inclusion criteria for analysis. The mean gestational age±standard deviation at delivery was 31.3±6.5 weeks. The trial of labor rate was 75.6% (158/209), and the vaginal birth after cesarean (VBAC) success rate was 86.7%. Labor induction or augmentation occurred in 83.3% of attempted VBAC. Uterine rupture occurred in five women (2.4%), and in 3.4% of those being induced but none of these required hysterectomy. Women with a history of previous CD and an IUFD often undergo trial of labor with a high VBAC success rate. Uterine rupture complicates 2.4% of such cases.",

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AU - Langer, Oded

AU - Thorp, John M.

AU - Mercer, Brian M.

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Mode of delivery in women with antepartum fetal death and prior cesarean delivery

Abstract

Keywords

ASJC Scopus subject areas

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