Evaluation of risk factors in cesarean delivery among multiparous women with a history of vaginal delivery

Aysel Uysal Derbent; Aysun Karabulut; Melahat Yıldırım; Serap Aynur Simavlı; Nilgün Öztürk Turhan

doi:10.5152/jtgga.2011.70

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Evaluation of risk factors in cesarean delivery among multiparous women with a history of vaginal delivery

Journal article

Open access

Peer reviewed

Evaluation of risk factors in cesarean delivery among multiparous women with a history of vaginal delivery

Aysel Uysal Derbent, Aysun Karabulut, Melahat Yıldırım, Serap Aynur Simavlı and Nilgün Öztürk Turhan

Journal of the Turkish German Gynecological Association, Vol.13(1), pp.15-20

2012

DOI: 10.5152/jtgga.2011.70

PMCID: PMC3940218

PMID: 24627669

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https://pmc.ncbi.nlm.nih.gov/articles/PMC3940218/View

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Abstract

Objective To predict the risk of cesarean delivery (CS) for multiparous women who have undergone previous vaginal delivery. Material and Methods A prospective observational study was performed, among multiparous pregnancies that were between 38 and 41 gestational weeks and had a singleton, vertex presentation fetus. Women’s physical activity score, obstetric history, intrapartum and postpartum events were assessed. Multivariable logistic regression was used to explore risk factors associated with CS. Results Of the 245 total 83.7% had spontaneous labor and 16.3% were induced. Seventy-five percent of the induced women required CS, whereas only 19.5% of those with spontaneous labor required CS (p<0.001). The logistic regression analysis model included maternal weight gain, physical activity score, cervical dilatation, and fetal weight as the predictors of CS. We detected 7 (10%) maternal complications in women who underwent intrapartum CS. Conclusion Labor induction is significantly associated with increased risk of cesarean delivery among previously vaginally delivered women and maternal weight gain, physical activity score, cervical dilatation, and fetal weight are most accurate parameters in the prediction of the risk of CS delivery. Intrapartum CS has an increased risk of maternal morbidity.

Original Investigation

Labor induction

spontaneous labor

intrapartum cesarean

vaginal delivery

multiparity

Details

Title: Subtitle: Evaluation of risk factors in cesarean delivery among multiparous women with a history of vaginal delivery
Creators: Aysel Uysal Derbent - Fatih University
Aysun Karabulut - Denizli Devlet Hastanesi
Melahat Yıldırım - Fatih University
Serap Aynur Simavlı - Fatih University
Nilgün Öztürk Turhan - Fatih University
Resource Type: Journal article
Publication Details: Journal of the Turkish German Gynecological Association, Vol.13(1), pp.15-20
DOI: 10.5152/jtgga.2011.70
PMID: 24627669
PMCID: PMC3940218
NLM abbreviation: J Turk Ger Gynecol Assoc
ISSN: 1309-0399
eISSN: 1309-0380
Publisher: AVES
Number of pages: 6
Language: English
Date published: 2012
Academic Unit: Obstetrics and Gynecology
Record Identifier: 9985123697802771

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