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

被引：62

作者：

Carroll, CS ^{[1
]}

Magann, EF ^{[1
]}

Chauhan, SP ^{[1
]}

Klauser, CK ^{[1
]}

Morrison, JC ^{[1
]}

机构：

[1] Univ Mississippi, Med Ctr, Dept Obstet & Gynecol, Jackson, MS 39216 USA

来源：

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY | 2003年 / 188卷 / 06期

关键词：

vaginal birth after cesarean; obesity; vaginal birth after cesarean success;

D O I：

10.1067/mob.2003.472

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

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.

引用

页码：1516 / 1520

页数：5

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