Success of trial of labor in women with a history of previous cesarean section for failed labor induction or labor dystocia: a retrospective cohort study

Katariina Place, Heidi Kruit, Aydin Tekay, Seppo Heinonen, Leena Rahkonen

Research output: Contribution to journalArticleScientificpeer-review

Abstract

BackgroundThe rates of cesarean section (CS) are increasing worldwide leading to an increased risk for maternal and neonatal complications in the subsequent pregnancy and labor. Previous studies have demonstrated that successful trial of labor after cesarean (TOLAC) is associated with the least maternal morbidity, but the risks of unsuccessful TOLAC exceed the risks of scheduled repeat CS. However, prediction of successful TOLAC is difficult, and only limited data on TOLAC in women with previous failed labor induction or labor dystocia exists. Our aim was to evaluate the success of TOLAC in women with a history of failed labor induction or labor dystocia, to compare the delivery outcomes according to stage of labor at time of previous CS, and to assess the risk factors for recurrent failed labor induction or labor dystocia.MethodsThis retrospective cohort study of 660 women with a prior CS for failed labor induction or labor dystocia undergoing TOLAC was carried out in Helsinki University Hospital, Finland, between 2013 and 2015. Data on the study population was obtained from the hospital database and analyzed using SPSS.ResultsThe rate of vaginal delivery was 72.9% and the rate of repeat CS for failed induction or labor dystocia was 17.7%. The rate of successful TOLAC was 75.6% in women with a history of labor arrest in the first stage of labor, 73.1% in women with a history of labor arrest in the second stage of labor, and 59.0% in women with previous failed induction. The adjusted risk factors for recurrent failed induction or labor dystocia were maternal height

Original languageEnglish
Article number176
JournalBMC Pregnancy and Childbirth
Volume19
Issue number1
Number of pages9
ISSN1471-2393
DOIs
Publication statusPublished - 20 May 2019
MoE publication typeA1 Journal article-refereed

Fields of Science

  • Cesarean section
  • DELIVERY
  • FOLEY CATHETER
  • Induction of labor
  • Labor dystocia
  • MORBIDITY
  • OUTCOMES
  • PREDICTION
  • REGISTRY
  • RISK
  • TERM
  • Trial of labor after cesarean (TOLAC)
  • UTERINE RUPTURE
  • VAGINAL BIRTH

Cite this

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title = "Success of trial of labor in women with a history of previous cesarean section for failed labor induction or labor dystocia: a retrospective cohort study",
abstract = "BackgroundThe rates of cesarean section (CS) are increasing worldwide leading to an increased risk for maternal and neonatal complications in the subsequent pregnancy and labor. Previous studies have demonstrated that successful trial of labor after cesarean (TOLAC) is associated with the least maternal morbidity, but the risks of unsuccessful TOLAC exceed the risks of scheduled repeat CS. However, prediction of successful TOLAC is difficult, and only limited data on TOLAC in women with previous failed labor induction or labor dystocia exists. Our aim was to evaluate the success of TOLAC in women with a history of failed labor induction or labor dystocia, to compare the delivery outcomes according to stage of labor at time of previous CS, and to assess the risk factors for recurrent failed labor induction or labor dystocia.MethodsThis retrospective cohort study of 660 women with a prior CS for failed labor induction or labor dystocia undergoing TOLAC was carried out in Helsinki University Hospital, Finland, between 2013 and 2015. Data on the study population was obtained from the hospital database and analyzed using SPSS.ResultsThe rate of vaginal delivery was 72.9{\%} and the rate of repeat CS for failed induction or labor dystocia was 17.7{\%}. The rate of successful TOLAC was 75.6{\%} in women with a history of labor arrest in the first stage of labor, 73.1{\%} in women with a history of labor arrest in the second stage of labor, and 59.0{\%} in women with previous failed induction. The adjusted risk factors for recurrent failed induction or labor dystocia were maternal height",
keywords = "Cesarean section, DELIVERY, FOLEY CATHETER, Induction of labor, Labor dystocia, MORBIDITY, OUTCOMES, PREDICTION, REGISTRY, RISK, TERM, Trial of labor after cesarean (TOLAC), UTERINE RUPTURE, VAGINAL BIRTH",
author = "Katariina Place and Heidi Kruit and Aydin Tekay and Seppo Heinonen and Leena Rahkonen",
year = "2019",
month = "5",
day = "20",
doi = "10.1186/s12884-019-2334-3",
language = "English",
volume = "19",
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Success of trial of labor in women with a history of previous cesarean section for failed labor induction or labor dystocia : a retrospective cohort study . / Place, Katariina; Kruit, Heidi; Tekay, Aydin; Heinonen, Seppo ; Rahkonen, Leena.

In: BMC Pregnancy and Childbirth, Vol. 19, No. 1, 176 , 20.05.2019.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Success of trial of labor in women with a history of previous cesarean section for failed labor induction or labor dystocia

T2 - a retrospective cohort study

AU - Place, Katariina

AU - Kruit, Heidi

AU - Tekay, Aydin

AU - Heinonen, Seppo

AU - Rahkonen, Leena

PY - 2019/5/20

Y1 - 2019/5/20

N2 - BackgroundThe rates of cesarean section (CS) are increasing worldwide leading to an increased risk for maternal and neonatal complications in the subsequent pregnancy and labor. Previous studies have demonstrated that successful trial of labor after cesarean (TOLAC) is associated with the least maternal morbidity, but the risks of unsuccessful TOLAC exceed the risks of scheduled repeat CS. However, prediction of successful TOLAC is difficult, and only limited data on TOLAC in women with previous failed labor induction or labor dystocia exists. Our aim was to evaluate the success of TOLAC in women with a history of failed labor induction or labor dystocia, to compare the delivery outcomes according to stage of labor at time of previous CS, and to assess the risk factors for recurrent failed labor induction or labor dystocia.MethodsThis retrospective cohort study of 660 women with a prior CS for failed labor induction or labor dystocia undergoing TOLAC was carried out in Helsinki University Hospital, Finland, between 2013 and 2015. Data on the study population was obtained from the hospital database and analyzed using SPSS.ResultsThe rate of vaginal delivery was 72.9% and the rate of repeat CS for failed induction or labor dystocia was 17.7%. The rate of successful TOLAC was 75.6% in women with a history of labor arrest in the first stage of labor, 73.1% in women with a history of labor arrest in the second stage of labor, and 59.0% in women with previous failed induction. The adjusted risk factors for recurrent failed induction or labor dystocia were maternal height

AB - BackgroundThe rates of cesarean section (CS) are increasing worldwide leading to an increased risk for maternal and neonatal complications in the subsequent pregnancy and labor. Previous studies have demonstrated that successful trial of labor after cesarean (TOLAC) is associated with the least maternal morbidity, but the risks of unsuccessful TOLAC exceed the risks of scheduled repeat CS. However, prediction of successful TOLAC is difficult, and only limited data on TOLAC in women with previous failed labor induction or labor dystocia exists. Our aim was to evaluate the success of TOLAC in women with a history of failed labor induction or labor dystocia, to compare the delivery outcomes according to stage of labor at time of previous CS, and to assess the risk factors for recurrent failed labor induction or labor dystocia.MethodsThis retrospective cohort study of 660 women with a prior CS for failed labor induction or labor dystocia undergoing TOLAC was carried out in Helsinki University Hospital, Finland, between 2013 and 2015. Data on the study population was obtained from the hospital database and analyzed using SPSS.ResultsThe rate of vaginal delivery was 72.9% and the rate of repeat CS for failed induction or labor dystocia was 17.7%. The rate of successful TOLAC was 75.6% in women with a history of labor arrest in the first stage of labor, 73.1% in women with a history of labor arrest in the second stage of labor, and 59.0% in women with previous failed induction. The adjusted risk factors for recurrent failed induction or labor dystocia were maternal height

KW - Cesarean section

KW - DELIVERY

KW - FOLEY CATHETER

KW - Induction of labor

KW - Labor dystocia

KW - MORBIDITY

KW - OUTCOMES

KW - PREDICTION

KW - REGISTRY

KW - RISK

KW - TERM

KW - Trial of labor after cesarean (TOLAC)

KW - UTERINE RUPTURE

KW - VAGINAL BIRTH

U2 - 10.1186/s12884-019-2334-3

DO - 10.1186/s12884-019-2334-3

M3 - Article

VL - 19

JO - BMC Pregnancy and Childbirth

JF - BMC Pregnancy and Childbirth

SN - 1471-2393

IS - 1

M1 - 176

ER -