Factors Associated With Mode Of Delivery Among Primipara Women With One Previous Cesarean Section And Undergoing A Trial Of Labor [1] [a Prova De Trabalho E A Via De Parto Em Primíparas Com Uma Cesárea Anterior]

dc.creatorMatias J.P.
dc.creatorParpinelli M.A.
dc.creatorCecatti J.G.
dc.date2007
dc.date2015-06-30T18:45:28Z
dc.date2015-11-26T14:33:41Z
dc.date2015-06-30T18:45:28Z
dc.date2015-11-26T14:33:41Z
dc.date.accessioned2018-03-28T21:37:05Z
dc.date.available2018-03-28T21:37:05Z
dc.identifier
dc.identifierRevista Da Associacao Medica Brasileira. , v. 53, n. 2, p. 109 - 115, 2007.
dc.identifier1044230
dc.identifier
dc.identifierhttp://www.scopus.com/inward/record.url?eid=2-s2.0-34250637402&partnerID=40&md5=34a6e1d1611922dd932f394632ef7dc4
dc.identifierhttp://www.repositorio.unicamp.br/handle/REPOSIP/104656
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/104656
dc.identifier2-s2.0-34250637402
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1247919
dc.descriptionOBJECTIVE. To identify factors associated with cesarean section in women with only one previous delivery by cesarean section and undergoing a trial of labor. METHODS. A retrospective cross sectional study was performed from 1986 to 1998 including a total of 1746 women with one prior cesarean section and delivering after a trial of labor. Cases with a current twin pregnancy or with malformation incompatible with life were excluded. Women were divided in two groups according to the mode of the second delivery: Cesarean (n=731) or Vaginal Birth After Cesarean (VBAC, n=1015). To identify factors associated to the mode of delivery, the prevalence ratios (PR) and the 95%CI for each isolated factor, adjusted according to age, were assessed. In each analysis, cases with missing information were excluded. RESULTS. The total rate of Vaginal Birth After Cesarean was 58.1%. The factors significantly associated with cesarean section were: higher maternal age, greater fundal height (PR 1.5; 95%CI 1.19-1.88), premature rupture of membranes (1.3; 1.08-1.54), amniotic fluid with an altered aspect (1.22; 1.04-1.43) or volume (1.32; 1.01-1.73), altered fetal heart rate (1.96; 1.68-2.28), non cephalic presentation (2.03; 1.54-2.66), induction of labor (1.74; 1.42-2.11) and no labor analgesia (2.57; 2.11-3.11). CONCLUSION. The factors associated with cesarean section were older age, non-cephalic presentation, premature rupture of membranes, signs of large fetus, the need of induction of labor and signs of compromised fetal wellbeing.
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dc.languagept
dc.publisher
dc.relationRevista da Associacao Medica Brasileira
dc.rightsfechado
dc.sourceScopus
dc.titleFactors Associated With Mode Of Delivery Among Primipara Women With One Previous Cesarean Section And Undergoing A Trial Of Labor [1] [a Prova De Trabalho E A Via De Parto Em Primíparas Com Uma Cesárea Anterior]
dc.typeArtículos de revistas


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