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https://ciane.net/id=1673

Criado em : 01 Feb 2006
Alterado em : 01 Dec 2007

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Nota bibliográfica (sem autor) :

Delivery after previous cesarean section: a risk evaluation. OG, 93, p.332

Autores :

Rageth

Ano de publicação :

1999

URL(s) :

Résumé (français)  :

Abstract (English)  :

Pooled data from Switzerland. 457,825 deliveries of which 29,046 had history of previous CS. There was a trial of labor rate of 65.5% for 17,613 trials. The success rate overall was 73.3%, 75% for spontaneous labor and 65.6% for induced labor. The following were sig. more frequent in the previous CS group: maternal fever, thromboembolic events, bleeding d/t previa, uterine rupture (92 cases), perinatal mortality (118 cases including 6 associated with uterine rupture). The risk of uterine rupture was higher in the TOL gp versus the repeat CS gp but all other risks were lower in the TOL gp. In the TOL group, the uterine rupture group (70) more often had induced labor (24.9% versus 13.9% in the non rupture gp), etc.

Conc.: A history of CS sig. elevates the risks for mother and child with future deliveries. Nonetheless, a TOL after PCS is safe. Induction of labor, epidural anesthesia, failure to progress, and abnormal FHT pattern are all associated with a failure of TOL and uterine rupture.

Sumário (português)  :

Resumen (español)  :

Comentários :

Fiche importée de http://www.worldserver.com/turk/birthing/rrvbac2000-4.html avec l’aide de Ken Turkowski, septembre 2005

Argument (français) :

Argument (English):

Argumento (português):

Argumento (español):

Palavras-chaves :

➡ parto vaginal após cesariana ; cesariana ; indução ; tempo de termo excedido

Autor da esta ficha :

Ken Turkowski — 01 Feb 2006