Acta Scientific Women's Health (ASWH)(ISSN: 2582-3205)

Research Article Volume 3 Issue 2

Frequency of Complications of Vaginal Delivery in Patients with a History of Cesarean Section

Edgar Allan Villagómez Mendoza1*, Rubén Razo Solano2, Saúl Palapa Ramirez2 and Alan Moisés Santana Ramirez3

1Fourth Year Resident Physician of Gynecology and Obstetrics, General Hospital Dr. José María Rodríguez, State of México, Mexico
2Obstetrician Gynecologist, General Hospital Dr. José María Rodríguez, State of México, Mexico
3Coordinator of Medical Programs IMSS, General Hospital Dr. José María Rodríguez, State of México, Mexico

*Corresponding Author: Edgar Allan Villagómez Mendoza, Fourth Year Resident Physician of Gynecology and Obstetrics, General Hospital Dr. José María Rodríguez, State of México, Mexico.

Received: January 19, 2021; Published: Janaury 28, 2021

×

Abstract

Objective: To determine the frequency of complications of vaginal delivery in patients with a history of cesarean section.

Methods: Prospective, observational, and descriptive study carried out from June 2019 to June 2020, with a total of 45 cases in the study period, 45 patients attended for resolution of gestation were analyzed, all with a history of cesarean section, they were concentrated in a database in the Excel program and quantitative and qualitative analysis of the study variables was carried out (gestations, maternal age, interpregnancy interval, indication for previous cesarean section, type of complication, obstetric outcome and, if necessary, reasons for a repeat cesarean section measures of central tendency were specified. Statistical significance was made as p < 0.05 and was performed using the Chi-square test and Fisher's exact statistic for nominal variables. Inclusion criteria: patients with full-term pregnancies, history of a transverse segmental cesarean section without contraindication for vaginal delivery, the reason for the previous cesarean section, and interpregnancy interval greater than 18 months.

Results: 45 patients were studied, complications were analyzed in 40%, by type of obstetric outcome, complications appeared in 36% of women with childbirth, and in 45% of women with a cesarean section, In patients with a vaginal outcome, the most frequent complication was third-degree B perineal tear in 12% of cases, however, in patients with repeat cesarean section, the most frequent complication in 20% of cases was the obstetric hemorrhage. The complications obtained in the study were not statistically major.

Conclusions: Cesarean section is a major surgical procedure that implies higher morbidity and mortality than childbirth, admitting delivery after cesarean section is a safe method in patients with a history of cesarean section with transverse segmental incision without contraindication for vaginal delivery, however, strategies should be developed to improve delivery care, decrease obstetric bleeding, and improve the obstetrician's ability to assess the risk of uterine rupture.

Keywords: Delivery After Cesarean Section; Vaginal Delivery; Cesarean Birth; Flamm Score

×

References

  1. García C., et al. “Parto después de cesárea ¿una opción segura?” Ginecologia y obstetricia de Mexico 83 (2015): 69-87.
  2. Vargas A., et al. “Parto vaginal después de una cesárea, aplicando un puntaje al momento del ingreso en un hospital”. Revista Peruana de Ginecología y Obstetricia 59 (2013): 261-266.
  3. Cuero O., et al. “Parto vaginal después de una cesárea previa, hospital san juan de dios, Cali (Colombia). Estudio de cohort”. Revista Colombiana de Obstetricia y Ginecología 62 (2011): 148-154.
  4. Campos J., et al. “Parto vaginal después de una cesárea”. Rev Hosp Mat inf Ramon Sarda 26 (2007): 15-20
  5. Landon MB., et al. “Maternal and perinatal outcomes associated with a trial of labor after prior cesarean delivery”. The New England Journal of Medicine 351 (2004): 2581.
  6. Macones GA., et al. “Maternal complications with vaginal birth after cesarean delivery: a multicenter study”. American Journal of Obstetrics and Gynecology 193 (2005): 1656.
  7. Lavin JP., et al. “Vaginal delivery in patients with a prior cesarean section”. Obstetrics and Gynecology 59 (1982): 135.
  8. Flamm BL., et al. “Vaginal birth after cesarean delivery: results of a 5-year multicenter collaborative study”. Obstetrics and Gynecology 76 (1990): 750.
  9. Miller DA., et al. “Vaginal birth after cesarean: a 10-year experience”. Obstetrics and Gynecology 84 (1994): 255.
  10. McMahon MJ., et al. “Comparison of a trial of labor with an elective second cesarean section”. The New England Journal of Medicine 335 (1996): 689.
  11. Hammad IA., et al. “Peripartum complications with cesarean delivery: A review of Maternal-Fetal Medicine Units Network publications”. Journal of Maternal-Fetal and Neonatal Medicine 27 (2014): 463.
  12. American College of Obstetricians and Gynecologists' Committee on Practice Bulletins Obstetrics. “ACOG Practice Bulletin No. 205: Vaginal Birth After Cesarean Delivery”. Obstetrics and Gynecology 133 (2019): e110.
  13. Grantz KL., et al. “Labor patterns in women attempting vaginal birth after cesarean with normal neonatal outcomes”. American Journal of Obstetrics and Gynecology 213 (2015): 226.e1.
  14. Graseck AS., et al. “Normal first stage of labor in women undergoing trial of labor after cesarean delivery”. Obstetrics and Gynecology 119 (2012): 732.
  15. Hehir MP., et al. “Second-Stage Duration and Outcomes Among Women Who Labored After a Prior Cesarean Delivery”. Obstetrics and Gynecology 131 (2018): 514.
  16. Stock SJ., et al. “Outcomes of induction of labor in women with previous cesarean delivery: a retrospective cohort study using a population database”. PLoS One 8 (2013): e60404.
  17. Palatnik A and Grobman WA. “Induction of labor versus expectant management for women with a prior cesarean delivery”. American Journal of Obstetrics and Gynecology 212 (2015): 358.e1.
  18. Lappen JR., et al. “Outcomes of Term Induction in Trial of Labor After Cesarean Delivery: Analysis of a Modern Obstetric Cohort”. Obstetrics and Gynecology 126 (2015): 115.
  19. Harper LM., et al. “Association of induction of labor and uterine rupture in women attempting vaginal birth after cesarean: a survival analysis”. American Journal of Obstetrics and Gynecology 206 (2012): 51.e1.
  20. Lydon-Rochelle M., et al. “Risk of uterine rupture during labor among women with a prior cesarean delivery”. The New England Journal of Medicine 345 (2001): 3.
×

Citation

Citation: Edgar Allan Villagómez Mendoza., et al. “Frequency of Complications of Vaginal Delivery in Patients with a History of Cesarean Section”. Acta Scientific Women's Health 3.2 (2021): 45-50.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days

Indexed In





News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is December 25, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"

Contact US