Is Early Amniotomy Associated with Higher Likelihood of Vaginal Birth after Cesarean?

Abstract Objective  The study aims to reduce cesarean rates, eligible women are being offered an option of vaginal birth after cesarean (VBAC). However, little data exist regarding efficacy of amniotomy as a tool in this population. We sought to evaluate the impact of early amniotomy on VBAC success...

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Bibliographic Details
Published in:American journal of perinatology reports 2020-01, Vol.10 (1), p.e37-e41
Main Authors: Varvoutis, Megan S., Sayres, Lauren C., Dotters-Katz, Sarah K.
Format: Article
Language:English
Subjects:
amniotomy
Case Report
induction
tolac
vaginal birth after cesarean
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Summary:Abstract Objective  The study aims to reduce cesarean rates, eligible women are being offered an option of vaginal birth after cesarean (VBAC). However, little data exist regarding efficacy of amniotomy as a tool in this population. We sought to evaluate the impact of early amniotomy on VBAC success. Study Design  This is a secondary analysis case-control study using the MFMU (Maternal-Fetal Medicine Units Network) Cesarean Registry. Women were included if they had a singleton pregnancy, were attempting VBAC, and underwent induction with artificial rupture of membranes. Cases were defined as subjects with successful VBAC; controls were defined as subjects with failed trial of labor after cesarean (TOLAC). Early amniotomy was defined as amniotomy at
ISSN:2157-6998
2157-7005
DOI:10.1055/s-0040-1702924