The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2013
Association of labor induction or stimulation with infant mortality in women with failed versus successful trial of labor after prior cesarean.
СтатьяНазвание и аннотация: Перевод в очереди
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Chen Han-Yang, Chauhan Suneet P, Grobman William A, Ananth Cande V, Vintzileos Anthony M, Abuhamad Alfred Z
Аннотация
OBJECTIVE: To compare infant mortality rates among women with a failed versus successful trial of labor after cesarean (TOLAC) following labor induction or stimulation.
STUDY DESIGN: Using US linked birth and infant death cohort data (2000-2004), we identified women who delivered non-anomalous singleton births at 34-41 weeks with TOLAC whose labors were induced or stimulated. Multivariable log-binomial regression models were fitted to estimate the association between TOLAC success and infant mortality.
RESULTS: Of the 164,113 women who underwent TOLAC, 41% were unsuccessful. After adjustment for potential confounding factors, a failed TOLAC was associated with a 1.4 fold (95% confidence interval [CI] 1.1, 1.7) increased risk of infant mortality.
CONCLUSIONS: Among women undergoing labor induction or stimulation, a failed TOLAC is associated with higher likelihood of infant mortality.
STUDY DESIGN: Using US linked birth and infant death cohort data (2000-2004), we identified women who delivered non-anomalous singleton births at 34-41 weeks with TOLAC whose labors were induced or stimulated. Multivariable log-binomial regression models were fitted to estimate the association between TOLAC success and infant mortality.
RESULTS: Of the 164,113 women who underwent TOLAC, 41% were unsuccessful. After adjustment for potential confounding factors, a failed TOLAC was associated with a 1.4 fold (95% confidence interval [CI] 1.1, 1.7) increased risk of infant mortality.
CONCLUSIONS: Among women undergoing labor induction or stimulation, a failed TOLAC is associated with higher likelihood of infant mortality.