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The MFMU Cesarean Registry: Factors affecting the success of trial of labor after previous cesarean delivery
The purpose of this study was to determine which factors influence the likelihood of successful trial of labor (TOL) after 1 previous cesarean delivery (CD). We performed a multicenter 4-year prospective observational study (1999-2002) of all women with previous CD undergoing TOL. Women with term si...
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| Published in: | American journal of obstetrics and gynecology 2005-09, Vol.193 (3), p.1016-1023 |
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| container_title | American journal of obstetrics and gynecology |
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| creator | Landon, Mark B. Leindecker, Sharon Spong, Catherine Y. Hauth, John C. Bloom, Steven Varner, Michael W. Moawad, Atef H. Caritis, Steve N. Harper, Margaret Wapner, Ronald J. Sorokin, Yoram Miodovnik, Menachem Carpenter, Marshall Peaceman, Alan M. O'Sullivan, Mary Jo Sibai, Baha M. Langer, Oded Thorp, John M. Ramin, Susan M. Mercer, Brian M. Gabbe, Steven G. |
| description | The purpose of this study was to determine which factors influence the likelihood of successful trial of labor (TOL) after 1 previous cesarean delivery (CD).
We performed a multicenter 4-year prospective observational study (1999-2002) of all women with previous CD undergoing TOL. Women with term singleton pregnancies with 1 previous low transverse CD or unknown incision were included for analysis.
Fourteen thousand five hundred twenty-nine women underwent TOL, with 10,690 (73.6%) achieving successful VBAC. Women with previous vaginal birth had an 86.6% success rate compared with 60.9% in women without such a history (odds ratio [OR] 4.2; 95% CI 3.8-4.5;
P < .001). TOL success rates were affected by previous indication for CD, need for induction or augmentation, cervical dilation on admission, birth weight, race, and maternal body mass index. Multivariate logistic regression analysis identified as predictive of TOL success: previous vaginal delivery (OR 3.9; 95% CI 3.6-4.3), previous indication not being dystocia (CPD/FTP) (OR 1.7; 95% CI 1.5-1.8), spontaneous labor (OR 1.6; 95% CI 1.5-1.8), birth weight |
| doi_str_mv | 10.1016/j.ajog.2005.05.066 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_68579330</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0002937805007635</els_id><sourcerecordid>68579330</sourcerecordid><originalsourceid>FETCH-LOGICAL-c384t-357cf0d9fd9f1461ccd45fd0d7052b612661b6b60821af33e1247e16e14780e13</originalsourceid><addsrcrecordid>eNp9kNFq2zAUhkVZabO2L9CLoZvtzqmObEv22M0IzVZoKZT2WsjyUabg2JmOE8jbVyYZvRv8IB34zuHnY-wWxBwEqLv13K6H1VwKUc6nKHXGZiBqnalKVZ_YTAghszrX1SX7TLSeRlnLC3YJCkoNopix7vUP8qfl0xtfINmItucvuAo0xsN3vrRuHCJx6z26MfQrPiaads4hER88H2Ow3fTpbDPExI0Y-TbiPgw74u7fxRa7sMd4uGbn3naEN6f3ir0t718Xv7PH518Pi5-PmcurYszyUjsv2tqnQKHAubYofStaLUrZKJBKQaMaJSoJ1uc5giw0gkIodCUQ8iv27Xh3G4e_O6TRbAI57DrbYypmVFXqOs9FAuURdHEgiujNNoaNjQcDwkyOzdpMjs3k2ExRKi19OV3fNRtsP1ZOUhPw9QRYcrbz0fYu0AenU92yrBL348hhcrEPGA25gL3DNsTk27RD-F-Pd47Mmh8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>68579330</pqid></control><display><type>article</type><title>The MFMU Cesarean Registry: Factors affecting the success of trial of labor after previous cesarean delivery</title><source>Elsevier</source><creator>Landon, Mark B. ; Leindecker, Sharon ; Spong, Catherine Y. ; Hauth, John C. ; Bloom, Steven ; Varner, Michael W. ; Moawad, Atef H. ; Caritis, Steve N. ; Harper, Margaret ; Wapner, Ronald J. ; Sorokin, Yoram ; Miodovnik, Menachem ; Carpenter, Marshall ; Peaceman, Alan M. ; O'Sullivan, Mary Jo ; Sibai, Baha M. ; Langer, Oded ; Thorp, John M. ; Ramin, Susan M. ; Mercer, Brian M. ; Gabbe, Steven G.</creator><creatorcontrib>Landon, Mark B. ; Leindecker, Sharon ; Spong, Catherine Y. ; Hauth, John C. ; Bloom, Steven ; Varner, Michael W. ; Moawad, Atef H. ; Caritis, Steve N. ; Harper, Margaret ; Wapner, Ronald J. ; Sorokin, Yoram ; Miodovnik, Menachem ; Carpenter, Marshall ; Peaceman, Alan M. ; O'Sullivan, Mary Jo ; Sibai, Baha M. ; Langer, Oded ; Thorp, John M. ; Ramin, Susan M. ; Mercer, Brian M. ; Gabbe, Steven G. ; for the National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network ; National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network</creatorcontrib><description>The purpose of this study was to determine which factors influence the likelihood of successful trial of labor (TOL) after 1 previous cesarean delivery (CD).
We performed a multicenter 4-year prospective observational study (1999-2002) of all women with previous CD undergoing TOL. Women with term singleton pregnancies with 1 previous low transverse CD or unknown incision were included for analysis.
Fourteen thousand five hundred twenty-nine women underwent TOL, with 10,690 (73.6%) achieving successful VBAC. Women with previous vaginal birth had an 86.6% success rate compared with 60.9% in women without such a history (odds ratio [OR] 4.2; 95% CI 3.8-4.5;
P < .001). TOL success rates were affected by previous indication for CD, need for induction or augmentation, cervical dilation on admission, birth weight, race, and maternal body mass index. Multivariate logistic regression analysis identified as predictive of TOL success: previous vaginal delivery (OR 3.9; 95% CI 3.6-4.3), previous indication not being dystocia (CPD/FTP) (OR 1.7; 95% CI 1.5-1.8), spontaneous labor (OR 1.6; 95% CI 1.5-1.8), birth weight <4000 g (OR 2.0; 95% CI 1.8-2.3), and Caucasian race (OR 1.8, 95% CI 1.6-1.9) (all
P < .001). The overall TOL success rate in obese women (BMI ≥30) was lower (68.4%) than in nonobese women (79.6%) (
P < .001), and when combined with induction and lack of previous vaginal delivery, successful VBAC occurred in only 44.2% of cases.
Previous vaginal delivery including previous VBAC is the greatest predictor for successful TOL. Previous indication as dystocia, need for labor induction, or a maternal BMI ≥30 significantly lowers success rates.</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/j.ajog.2005.05.066</identifier><identifier>PMID: 16157104</identifier><identifier>CODEN: AJOGAH</identifier><language>eng</language><publisher>Philadelphia, PA: Mosby, Inc</publisher><subject>Adult ; Biological and medical sciences ; Cesarean delivery ; Cesarean Section, Repeat - statistics & numerical data ; Delivery. Postpartum. Lactation ; Disorders ; Dystocia ; Dystocia - epidemiology ; Female ; Gynecology. Andrology. Obstetrics ; Humans ; Labor, Induced - statistics & numerical data ; Logistic Models ; Medical sciences ; Odds Ratio ; Pregnancy ; Pregnancy Outcome ; Prospective Studies ; Risk Factors ; Trial of Labor ; Vaginal Birth after Cesarean - statistics & numerical data</subject><ispartof>American journal of obstetrics and gynecology, 2005-09, Vol.193 (3), p.1016-1023</ispartof><rights>2005 Mosby, Inc.</rights><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-357cf0d9fd9f1461ccd45fd0d7052b612661b6b60821af33e1247e16e14780e13</citedby><cites>FETCH-LOGICAL-c384t-357cf0d9fd9f1461ccd45fd0d7052b612661b6b60821af33e1247e16e14780e13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,780,784,789,790,23930,23931,25140,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17247558$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16157104$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Landon, Mark B.</creatorcontrib><creatorcontrib>Leindecker, Sharon</creatorcontrib><creatorcontrib>Spong, Catherine Y.</creatorcontrib><creatorcontrib>Hauth, John C.</creatorcontrib><creatorcontrib>Bloom, Steven</creatorcontrib><creatorcontrib>Varner, Michael W.</creatorcontrib><creatorcontrib>Moawad, Atef H.</creatorcontrib><creatorcontrib>Caritis, Steve N.</creatorcontrib><creatorcontrib>Harper, Margaret</creatorcontrib><creatorcontrib>Wapner, Ronald J.</creatorcontrib><creatorcontrib>Sorokin, Yoram</creatorcontrib><creatorcontrib>Miodovnik, Menachem</creatorcontrib><creatorcontrib>Carpenter, Marshall</creatorcontrib><creatorcontrib>Peaceman, Alan M.</creatorcontrib><creatorcontrib>O'Sullivan, Mary Jo</creatorcontrib><creatorcontrib>Sibai, Baha M.</creatorcontrib><creatorcontrib>Langer, Oded</creatorcontrib><creatorcontrib>Thorp, John M.</creatorcontrib><creatorcontrib>Ramin, Susan M.</creatorcontrib><creatorcontrib>Mercer, Brian M.</creatorcontrib><creatorcontrib>Gabbe, Steven G.</creatorcontrib><creatorcontrib>for the National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network</creatorcontrib><creatorcontrib>National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network</creatorcontrib><title>The MFMU Cesarean Registry: Factors affecting the success of trial of labor after previous cesarean delivery</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>The purpose of this study was to determine which factors influence the likelihood of successful trial of labor (TOL) after 1 previous cesarean delivery (CD).
We performed a multicenter 4-year prospective observational study (1999-2002) of all women with previous CD undergoing TOL. Women with term singleton pregnancies with 1 previous low transverse CD or unknown incision were included for analysis.
Fourteen thousand five hundred twenty-nine women underwent TOL, with 10,690 (73.6%) achieving successful VBAC. Women with previous vaginal birth had an 86.6% success rate compared with 60.9% in women without such a history (odds ratio [OR] 4.2; 95% CI 3.8-4.5;
P < .001). TOL success rates were affected by previous indication for CD, need for induction or augmentation, cervical dilation on admission, birth weight, race, and maternal body mass index. Multivariate logistic regression analysis identified as predictive of TOL success: previous vaginal delivery (OR 3.9; 95% CI 3.6-4.3), previous indication not being dystocia (CPD/FTP) (OR 1.7; 95% CI 1.5-1.8), spontaneous labor (OR 1.6; 95% CI 1.5-1.8), birth weight <4000 g (OR 2.0; 95% CI 1.8-2.3), and Caucasian race (OR 1.8, 95% CI 1.6-1.9) (all
P < .001). The overall TOL success rate in obese women (BMI ≥30) was lower (68.4%) than in nonobese women (79.6%) (
P < .001), and when combined with induction and lack of previous vaginal delivery, successful VBAC occurred in only 44.2% of cases.
Previous vaginal delivery including previous VBAC is the greatest predictor for successful TOL. Previous indication as dystocia, need for labor induction, or a maternal BMI ≥30 significantly lowers success rates.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cesarean delivery</subject><subject>Cesarean Section, Repeat - statistics & numerical data</subject><subject>Delivery. Postpartum. Lactation</subject><subject>Disorders</subject><subject>Dystocia</subject><subject>Dystocia - epidemiology</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Labor, Induced - statistics & numerical data</subject><subject>Logistic Models</subject><subject>Medical sciences</subject><subject>Odds Ratio</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome</subject><subject>Prospective Studies</subject><subject>Risk Factors</subject><subject>Trial of Labor</subject><subject>Vaginal Birth after Cesarean - statistics & numerical data</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><recordid>eNp9kNFq2zAUhkVZabO2L9CLoZvtzqmObEv22M0IzVZoKZT2WsjyUabg2JmOE8jbVyYZvRv8IB34zuHnY-wWxBwEqLv13K6H1VwKUc6nKHXGZiBqnalKVZ_YTAghszrX1SX7TLSeRlnLC3YJCkoNopix7vUP8qfl0xtfINmItucvuAo0xsN3vrRuHCJx6z26MfQrPiaads4hER88H2Ow3fTpbDPExI0Y-TbiPgw74u7fxRa7sMd4uGbn3naEN6f3ir0t718Xv7PH518Pi5-PmcurYszyUjsv2tqnQKHAubYofStaLUrZKJBKQaMaJSoJ1uc5giw0gkIodCUQ8iv27Xh3G4e_O6TRbAI57DrbYypmVFXqOs9FAuURdHEgiujNNoaNjQcDwkyOzdpMjs3k2ExRKi19OV3fNRtsP1ZOUhPw9QRYcrbz0fYu0AenU92yrBL348hhcrEPGA25gL3DNsTk27RD-F-Pd47Mmh8</recordid><startdate>20050901</startdate><enddate>20050901</enddate><creator>Landon, Mark B.</creator><creator>Leindecker, Sharon</creator><creator>Spong, Catherine Y.</creator><creator>Hauth, John C.</creator><creator>Bloom, Steven</creator><creator>Varner, Michael W.</creator><creator>Moawad, Atef H.</creator><creator>Caritis, Steve N.</creator><creator>Harper, Margaret</creator><creator>Wapner, Ronald J.</creator><creator>Sorokin, Yoram</creator><creator>Miodovnik, Menachem</creator><creator>Carpenter, Marshall</creator><creator>Peaceman, Alan M.</creator><creator>O'Sullivan, Mary Jo</creator><creator>Sibai, Baha M.</creator><creator>Langer, Oded</creator><creator>Thorp, John M.</creator><creator>Ramin, Susan M.</creator><creator>Mercer, Brian M.</creator><creator>Gabbe, Steven G.</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20050901</creationdate><title>The MFMU Cesarean Registry: Factors affecting the success of trial of labor after previous cesarean delivery</title><author>Landon, Mark B. ; Leindecker, Sharon ; Spong, Catherine Y. ; Hauth, John C. ; Bloom, Steven ; Varner, Michael W. ; Moawad, Atef H. ; Caritis, Steve N. ; Harper, Margaret ; Wapner, Ronald J. ; Sorokin, Yoram ; Miodovnik, Menachem ; Carpenter, Marshall ; Peaceman, Alan M. ; O'Sullivan, Mary Jo ; Sibai, Baha M. ; Langer, Oded ; Thorp, John M. ; Ramin, Susan M. ; Mercer, Brian M. ; Gabbe, Steven G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-357cf0d9fd9f1461ccd45fd0d7052b612661b6b60821af33e1247e16e14780e13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Cesarean delivery</topic><topic>Cesarean Section, Repeat - statistics & numerical data</topic><topic>Delivery. Postpartum. Lactation</topic><topic>Disorders</topic><topic>Dystocia</topic><topic>Dystocia - epidemiology</topic><topic>Female</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Labor, Induced - statistics & numerical data</topic><topic>Logistic Models</topic><topic>Medical sciences</topic><topic>Odds Ratio</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome</topic><topic>Prospective Studies</topic><topic>Risk Factors</topic><topic>Trial of Labor</topic><topic>Vaginal Birth after Cesarean - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Landon, Mark B.</creatorcontrib><creatorcontrib>Leindecker, Sharon</creatorcontrib><creatorcontrib>Spong, Catherine Y.</creatorcontrib><creatorcontrib>Hauth, John C.</creatorcontrib><creatorcontrib>Bloom, Steven</creatorcontrib><creatorcontrib>Varner, Michael W.</creatorcontrib><creatorcontrib>Moawad, Atef H.</creatorcontrib><creatorcontrib>Caritis, Steve N.</creatorcontrib><creatorcontrib>Harper, Margaret</creatorcontrib><creatorcontrib>Wapner, Ronald J.</creatorcontrib><creatorcontrib>Sorokin, Yoram</creatorcontrib><creatorcontrib>Miodovnik, Menachem</creatorcontrib><creatorcontrib>Carpenter, Marshall</creatorcontrib><creatorcontrib>Peaceman, Alan M.</creatorcontrib><creatorcontrib>O'Sullivan, Mary Jo</creatorcontrib><creatorcontrib>Sibai, Baha M.</creatorcontrib><creatorcontrib>Langer, Oded</creatorcontrib><creatorcontrib>Thorp, John M.</creatorcontrib><creatorcontrib>Ramin, Susan M.</creatorcontrib><creatorcontrib>Mercer, Brian M.</creatorcontrib><creatorcontrib>Gabbe, Steven G.</creatorcontrib><creatorcontrib>for the National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network</creatorcontrib><creatorcontrib>National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Landon, Mark B.</au><au>Leindecker, Sharon</au><au>Spong, Catherine Y.</au><au>Hauth, John C.</au><au>Bloom, Steven</au><au>Varner, Michael W.</au><au>Moawad, Atef H.</au><au>Caritis, Steve N.</au><au>Harper, Margaret</au><au>Wapner, Ronald J.</au><au>Sorokin, Yoram</au><au>Miodovnik, Menachem</au><au>Carpenter, Marshall</au><au>Peaceman, Alan M.</au><au>O'Sullivan, Mary Jo</au><au>Sibai, Baha M.</au><au>Langer, Oded</au><au>Thorp, John M.</au><au>Ramin, Susan M.</au><au>Mercer, Brian M.</au><au>Gabbe, Steven G.</au><aucorp>for the National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network</aucorp><aucorp>National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The MFMU Cesarean Registry: Factors affecting the success of trial of labor after previous cesarean delivery</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>2005-09-01</date><risdate>2005</risdate><volume>193</volume><issue>3</issue><spage>1016</spage><epage>1023</epage><pages>1016-1023</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>The purpose of this study was to determine which factors influence the likelihood of successful trial of labor (TOL) after 1 previous cesarean delivery (CD).
We performed a multicenter 4-year prospective observational study (1999-2002) of all women with previous CD undergoing TOL. Women with term singleton pregnancies with 1 previous low transverse CD or unknown incision were included for analysis.
Fourteen thousand five hundred twenty-nine women underwent TOL, with 10,690 (73.6%) achieving successful VBAC. Women with previous vaginal birth had an 86.6% success rate compared with 60.9% in women without such a history (odds ratio [OR] 4.2; 95% CI 3.8-4.5;
P < .001). TOL success rates were affected by previous indication for CD, need for induction or augmentation, cervical dilation on admission, birth weight, race, and maternal body mass index. Multivariate logistic regression analysis identified as predictive of TOL success: previous vaginal delivery (OR 3.9; 95% CI 3.6-4.3), previous indication not being dystocia (CPD/FTP) (OR 1.7; 95% CI 1.5-1.8), spontaneous labor (OR 1.6; 95% CI 1.5-1.8), birth weight <4000 g (OR 2.0; 95% CI 1.8-2.3), and Caucasian race (OR 1.8, 95% CI 1.6-1.9) (all
P < .001). The overall TOL success rate in obese women (BMI ≥30) was lower (68.4%) than in nonobese women (79.6%) (
P < .001), and when combined with induction and lack of previous vaginal delivery, successful VBAC occurred in only 44.2% of cases.
Previous vaginal delivery including previous VBAC is the greatest predictor for successful TOL. Previous indication as dystocia, need for labor induction, or a maternal BMI ≥30 significantly lowers success rates.</abstract><cop>Philadelphia, PA</cop><pub>Mosby, Inc</pub><pmid>16157104</pmid><doi>10.1016/j.ajog.2005.05.066</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0002-9378 |
| ispartof | American journal of obstetrics and gynecology, 2005-09, Vol.193 (3), p.1016-1023 |
| issn | 0002-9378 1097-6868 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_68579330 |
| source | Elsevier |
| subjects | Adult Biological and medical sciences Cesarean delivery Cesarean Section, Repeat - statistics & numerical data Delivery. Postpartum. Lactation Disorders Dystocia Dystocia - epidemiology Female Gynecology. Andrology. Obstetrics Humans Labor, Induced - statistics & numerical data Logistic Models Medical sciences Odds Ratio Pregnancy Pregnancy Outcome Prospective Studies Risk Factors Trial of Labor Vaginal Birth after Cesarean - statistics & numerical data |
| title | The MFMU Cesarean Registry: Factors affecting the success of trial of labor after previous cesarean delivery |
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