Медицинская библиотека · American journal of obstetrics and gynecology · 2003

Vaginal birth after cesarean section versus elective repeat cesarean delivery: Weight-based outcomes.

Carroll C Shannon, Magann Everett F, Chauhan Suneet P, Klauser Chad K, Morrison John C

Сравнительное исследованиеСтатьяПоддержка исследования: вне правительства СШАПеревод в очереди

Аннотация

OBJECTIVE

The study was undertaken to compare infectious morbidity and trial of labor (TOL) success stratified by weight in women.

STUDY

DESIGN

Vaginal birth after cesarean section (VBAC) candidates were divided into groups based on prepregnancy weight: group I, 70 (<200 pounds); group II, 70 (200-300 pounds); and group III, 69 (>300 pounds).

RESULTS

The TOL success rate was 81.8% in group I compared with 57.1% in group II and 13.3% in group III (P =.001). The overall infectious morbidity was significantly greater in the obese women 39% (P =.001) compared with the average women at 11.4% and the lean women at 5.7%.

CONCLUSION

Infectious morbidity is increased and VBAC success is reduced in patients who weigh more than 300 pounds.

Для цитирования: Carroll C Shannon, Magann Everett F, Chauhan Suneet P, Klauser Chad K, Morrison John C. Vaginal birth after cesarean section versus elective repeat cesarean delivery: Weight-based outcomes.. American journal of obstetrics and gynecology. 2003. DOI: 10.1067/mob.2003.472.

Предметные рубрики MeSH

Adult Body Mass Index Cesarean Section, Repeat Elective Surgical Procedures Endometritis Female Humans Labor, Obstetric Length of Stay Mississippi Obesity Outcome Assessment, Health Care Pregnancy Risk Factors Surgical Wound Infection Trial of Labor Vaginal Birth after Cesarean

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