Mode of delivery in a subsequent pregnancy following previous instrumental delivery
-
Samuel Lurie
,
Netanel Steinberg
Abstract
Objective: To assess mode of subsequent delivery in women with previous instrumental vaginal delivery.
Study design: In this retrospective longitudinal study we followed women who underwent instrumental delivery. The study group included all consecutive parturient women who underwent an instrumental vaginal delivery during a 24-month period (1996–1999). We then identified women who had a subsequent delivery in our center until the end of the year 2010. The control group included women who had a spontaneous vaginal delivery from the same time.
Results: During the index period we had 349 consecutive successful instrumental vaginal deliveries. Of those, 125 women had a subsequent delivery in our center (35.8%). In subsequent pregnancies, the spontaneous vaginal delivery rate was 76.8% and 90.4%; the instrumental delivery rate was 8.8% and 1.6%; and the cesarean rate was 14.4% and 8.0%, in the instrumental delivery, and spontaneous vaginal delivery groups, respectively (P<0.05). The odds ratio for a woman to undergo either an instrumental delivery or a cesarean after having an instrumental delivery in a previous pregnancy was 2.8 (95% confidence interval 1.4–5.9, P<0.05).
Conclusion: Women with a previous instrumental delivery are at an increased risk of requiring either an instrumental delivery or a cesarean section in a subsequent pregnancy compared with women with a previous spontaneous vaginal delivery.
References
[1] Bahl R, Strachan B, Murphy DJ. Outcome of subsequent pregnancy three years after previous operative delivery in the second stage of labour: cohort study. Br Med J. 2004;328:311.10.1136/bmj.37942.546076.44Search in Google Scholar
[2] Greenhill JP. Obstetrics. 11th ed. Philadelphia: WB Saunders Co.; 1955; p. 190, pp. 193–214.Search in Google Scholar
[3] Jolly J, Walker J, Bhabra K. Subsequent obstetric performance related to primary mode of delivery. Br J Obstet Gynaecol. 1999;106:227–32.10.1111/j.1471-0528.1999.tb08235.xSearch in Google Scholar
[4] Kadar N, Romero R. Prognosis for future childbearing after midcavity instrumental deliveries in primigravidas. Obstet Gynecol. 1983;62:166–70.Search in Google Scholar
[5] Lurie S, Boaz M, Sadan O. Using anovaginal distance at the beginning of labor to predict the likelihood of instrumental delivery. J Reprod Med. 2005;50:759–63.Search in Google Scholar
[6] Lurie S, Feinstein M, Blickstein I, Caspi B, Matzkel A. Safe epidural anesthesia performed during labor by an obstetrician Int J Obstet Gynecol. 1991;34:229–33.10.1016/0020-7292(91)90354-8Search in Google Scholar
[7] Lurie S, Sadan O, Golan A. Re-laparotomy after cesarean section. Eur J Obstet Gynecol Reprod Biol. 2007;134:184–7.10.1016/j.ejogrb.2006.10.017Search in Google Scholar
[8] Melamed N, Ben-Haroush A, Chen R, Pardo J, Hod M, Yogev Y. Pregnancy outcome and mode of delivery after a previous operative vaginal delivery. Obstet Gynecol. 2009;114: 757–63.10.1097/AOG.0b013e3181b6f611Search in Google Scholar
[9] Sadan O, Ginath S, Gomel A, Abramov D, Rotmensch S, Boaz M, et al. What to do after a failed attempt of vacuum delivery? Eur J Obstet Gynecol Reprod Biol. 2003;107:151–5.10.1016/S0301-2115(02)00344-5Search in Google Scholar
[10] Steer CM. Effect of type of delivery on future childbearing. Am J Obstet Gynecol. 1950;60:395–400.10.1016/0002-9378(50)90481-9Search in Google Scholar
©2013 by Walter de Gruyter Berlin Boston
Articles in the same Issue
- Masthead
- Masthead
- Review
- The diagnosis of rupture of fetal membranes (ROM): a meta-analysis
- Original Articles – Obstetrics
- Differential proteolysis of insulin-like growth factor binding protein-1 (IGFBP-1) in pregnancy
- Hyperoxic resuscitation after hypoxia-ischemia induces cerebral inflammation that is attenuated by tempol in a reporter mouse model with very young mice
- Prenatal maternal stress predicts cord-blood ferritin concentration
- Puerperal curettage after cesarean section delivery
- Psychological reactions related to fetal magnetic resonance imaging: a follow-up study
- Ethnic disparity in amniotic fluid levels of hyaluronan, histone H2B and superoxide dismutase in spontaneous preterm birth
- Mode of delivery in a subsequent pregnancy following previous instrumental delivery
- Original Articles – Fetus
- Pregnancy and neonatal outcome following an antenatal diagnosis of cleft lip and palate
- Genetic low nephron number hypertension is associated with altered expression of osteopontin and CD44 during nephrogenesis*
- Pharmacovigilance in pregnancy: adverse drug reactions associated with fetal disorders
- Expectant management in type II selective intrauterine growth restriction and abnormal chord insertion in monochorionic twins
- Can prenatal detection of Down syndrome be improved by enhancing obstetricians’ skills of performing adequate foetal cardiac examination at the primary level?a
- Original Articles – Newborn
- The national perinatal mortality rate in the State of Qatar during 2011; trends since 1990 and comparative analysis with selected high-income countries: The PEARL Study Project*
- Determinants of successful breastfeeding initiation in healthy term singletons: a Swiss university hospital observational study
- Congress Calendar
- Congress Calendar
Articles in the same Issue
- Masthead
- Masthead
- Review
- The diagnosis of rupture of fetal membranes (ROM): a meta-analysis
- Original Articles – Obstetrics
- Differential proteolysis of insulin-like growth factor binding protein-1 (IGFBP-1) in pregnancy
- Hyperoxic resuscitation after hypoxia-ischemia induces cerebral inflammation that is attenuated by tempol in a reporter mouse model with very young mice
- Prenatal maternal stress predicts cord-blood ferritin concentration
- Puerperal curettage after cesarean section delivery
- Psychological reactions related to fetal magnetic resonance imaging: a follow-up study
- Ethnic disparity in amniotic fluid levels of hyaluronan, histone H2B and superoxide dismutase in spontaneous preterm birth
- Mode of delivery in a subsequent pregnancy following previous instrumental delivery
- Original Articles – Fetus
- Pregnancy and neonatal outcome following an antenatal diagnosis of cleft lip and palate
- Genetic low nephron number hypertension is associated with altered expression of osteopontin and CD44 during nephrogenesis*
- Pharmacovigilance in pregnancy: adverse drug reactions associated with fetal disorders
- Expectant management in type II selective intrauterine growth restriction and abnormal chord insertion in monochorionic twins
- Can prenatal detection of Down syndrome be improved by enhancing obstetricians’ skills of performing adequate foetal cardiac examination at the primary level?a
- Original Articles – Newborn
- The national perinatal mortality rate in the State of Qatar during 2011; trends since 1990 and comparative analysis with selected high-income countries: The PEARL Study Project*
- Determinants of successful breastfeeding initiation in healthy term singletons: a Swiss university hospital observational study
- Congress Calendar
- Congress Calendar
