[factors Associated With Mode Of Delivery Among Primipara Women With One Previous Cesarean Section And Undergoing A Trial Of Labor].

dc.creatorMatias, Jacinta Pereira
dc.creatorParpinelli, Mary Angela
dc.creatorCecatti, José Guilherme
dc.date
dc.date2015-11-27T13:10:12Z
dc.date2015-11-27T13:10:12Z
dc.date.accessioned2018-03-29T01:05:00Z
dc.date.available2018-03-29T01:05:00Z
dc.identifierRevista Da Associação Médica Brasileira (1992). v. 53, n. 2, p. 109-15
dc.identifier0104-4230
dc.identifier
dc.identifierhttp://www.ncbi.nlm.nih.gov/pubmed/17568912
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/197337
dc.identifier17568912
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1297570
dc.descriptionTo identify factors associated with cesarean section in women with only one previous delivery by cesarean section and undergoing a trial of labor. 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. 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). 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.
dc.description53
dc.description109-15
dc.languagepor
dc.relationRevista Da Associação Médica Brasileira (1992)
dc.relationRev Assoc Med Bras
dc.rightsfechado
dc.rights
dc.sourcePubMed
dc.subjectAdult
dc.subjectCesarean Section, Repeat
dc.subjectCohort Studies
dc.subjectCross-sectional Studies
dc.subjectFemale
dc.subjectHumans
dc.subjectParity
dc.subjectPregnancy
dc.subjectRetrospective Studies
dc.subjectTrial Of Labor
dc.subjectVaginal Birth After Cesarean
dc.title[factors Associated With Mode Of Delivery Among Primipara Women With One Previous Cesarean Section And Undergoing A Trial Of Labor].
dc.typeArtículos de revistas


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