Obstetric and Neonatal Outcome in Second-Pregnancy Patients with One Prior Cesarean Section at A Costarican Hospital 2006-2007

Versión traducida del artículo "Resultados obstétricos y neonatales de pacientes secundigestas con antecedente de cesárea, Hospital Dr. Rafael Ángel Calderón Guardia, 2006-2007" DOI: https://doi.org/10.51481/amc.v52i1.549

Autores/as

  • Manrique Leal Mateos Caja Costarricense del Seguro Social, Hospital Dr. Rafael A. Calderón Guardia
  • Loretta Giacomin Carmiol Caja Costarricense del Seguro Social, Hospital Dr. Rafael A. Calderón Guardia
  • Rafael A Moya Sibaja Caja Costarricense del Seguro Social, Hospital Dr. Rafael A. Calderón Guardia

DOI:

https://doi.org/10.51481/amc.v52i1.715

Palabras clave:

Post-cesarean vaginal delivery, previous cesarean section, secondary pregnancy, neonatal complications, maternal complications

Resumen

Aim: To analyze neonatal and obstetric outcomes in second-pregnancy patients with 1 prior cesarean section.

Materials and methods: This study is a cross-sectional observational study. We analyzed 306 medical records of patients treated at the Dr. Rafael A. Calderón Guardia Hospital (HCG), from January 1st 2006 to December 31st of 2007. Maternal variables associated to prenatal control were age and obstetrical indication of the previous cesarean delivery. Variables associated to delivery were gestational age, type of delivery, obstetric complications, and length of hospital stay. The neonatal variables were weight at birth, 5 minute Apgar score, neonatal complications, need for neonatal resuscitation or newborn hospitalization and length of hospital stay.

Results: 59, 1% of the patients with 1 prior cesarean section had successful vaginal delivery. The percentage of maternal complications was significantly higher for those who underwent a cesarean section during labor.Uterine rupture occurred in 1,3% of the cases and no maternal or neonatal deaths were found as a consequence of such complication. The percentage of neonatal complications was similar for both groups. The need for neonatal resuscitation was significantly higher in the group that underwent an elective caesarean delivery.

Conclusion: Our results show that at the HCG from January 1st 2006 to December 31st of 2007, a vaginal delivery in second-pregnancy patients with 1 prior caesarean delivery appears to be safe. The percentage of successful vaginal deliveries, obstetric complications and uterine rupture were similar to those reported in international literature.

 

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Citas

Villar J, Valladares E, Wojdyla D, Zavaleta N, Carroli G, Velazco A et al. Cesarean delivery rates and pregnancy outcomes: The 2005 WHO global survey on maternal and perinatal health in Latin America. The Lancet. 2006; 367:1819-1829.

CDC. Vaginal birth after cesarean birth-California 1996-2000. MMWR. 2002; 51: 996-998

American College of Obstetricians and Gynecologists: Vaginal birth after previous cesarean delivery. ACOG Practice Bulletin No. 54. Washington, DC.: American College of Obstetricians and Gynecologists; 2004.

Flamm BL. Once a cesarean, always a controversy. Obstet Gynecol. 1997; 90: 312-315.

Coleman V, Erickson K, Schulkin J, Zinberg S, Sachs B. Vaginal birth after cesarean delivery: Practice patterns of Obstetrician-Gynecologits. Obstet Gynecol Survey. 2005; 60: 636-637.

Shipp TS. Trial of labor after cesarean: So, What are the risks? Clin Obstet Gynecol. 2004; 47: 365-377.

Cahill A, Macones G. Vaginal birth after cesarean delivery: Evidencebased practice. Clin Obstet Gynecol. 2007; 50: 518-525.

Mercer BM, Gilbert S, Landon M, Spong CY, Leveno KJ, Rouse DJ et al. Labor outcome with increasing number of prior vaginal births after cesarean delivery. Obstet Gynecol. 2008; 111: 285-291.

Flamm BL, Geiger AM. Vaginal birth after cesarean delivery: An admission scoring system. Obstet Gynecol. 1997; 90: 907-910.

Gyamfi C, Juhasz G, Gyamfi P, Stone J. Increased success of trial of labor after previous vaginal birth after cesarean. Obstet Gynecol. 2004; 104: 715-719.

Landon MB, Hauth JC, Leveno KJ, Spong CY, Leindecker S, Varner MW, et al. Maternal and perinatal outcomes associated with a trial of labor after prior cesarean delivery. N Engl J Med. 2004; 351:2581–9.

Chauhan SP, Martin JN, Henrichs CE, Morrison JC, Magann EF. Maternal and perinatal complications with uterine rupture in 142,075 patients who attempted vaginal birth after cesarean delivery: a review of the literature. Am J Obstet Gynecol. 2003; 189:408–17.

Macones GA, Peipert J, Nelson DB, Odibo A, Stevens EJ, Stamilio DM, et al. Maternal complications with vaginal birth after cesarean delivery: a multicenter study. Am J Obstet Gynecol. 2005; 193:1656– 62.

Doherty EG, Eichenwald EC. Cesarean delivery: Emphasis on the neonate. Clin Obstet Gynecol. 2004; 47: 332-341.

Roth-Kleiner M, Wagner BP, Bachmann D, Pfenninger J. Respiratory distress syndrome in near-term babies after caesarean section. Swiss Med Wkly. 2003; 133: 283-288.

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Publicado

2010-01-01

Cómo citar

Leal Mateos, M., Giacomin Carmiol, L., & Moya Sibaja, R. A. (2010). Obstetric and Neonatal Outcome in Second-Pregnancy Patients with One Prior Cesarean Section at A Costarican Hospital 2006-2007: Versión traducida del artículo "Resultados obstétricos y neonatales de pacientes secundigestas con antecedente de cesárea, Hospital Dr. Rafael Ángel Calderón Guardia, 2006-2007" DOI: https://doi.org/10.51481/amc.v52i1.549. Acta Médica Costarricense, 52(1), 30–34. https://doi.org/10.51481/amc.v52i1.715

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