Vaginal delivery after previous cesarean section in a teaching hospital
DOI:
https://doi.org/10.18554/refacs.v9i0.4476Keywords:
Cesarean section, Natural childbirth, Delivery, Obstetric.Abstract
This is a cross-sectional and retrospective study based on the analysis of all medical records of puerperal women assisted at a teaching hospital in the state of Minas Gerais, from January 1 to December 31, 2016. This study aims to estimate the success rate in vaginal delivery after a previous cesarean section, and the factors associated with their outcome. 1,157 medical records were reviewed and, after selection, 215 records of puerperal women submitted to vaginal delivery after a previous cesarean section were analyzed. The rate of vaginal delivery after previous cesarean section was 55.8%. The factors associated with the outcome were mainly absence of complications and/or pathologies during pregnancy, full-term pregnancies, and having had at least one previous vaginal birth. There is a need for studies on the subject, given the recent recommendations, factors to be cleared and still contradictory results regarding vaginal delivery after previous cesarean section.
References
World Health Organization. WHO recommendations non-clinical interventions to reduce unnecessary caesarean sections [Internet]. Geneva: World Health Organization; 2018 [citado em 23 abr 2020]. Disponível em: https://apps.who.int/iris/bitstream/handle/10665/275377/9789241550338-eng.pdf?ua=1
Organização Mundial da Saúde. Declaração da OMS sobre taxas de cesárea [Internet]. Genebra: Organização Mundial da Saúde; 2015 [citado em 19 fev 2020]. Disponível em: https://apps.who.int/iris/bitstream/handle/10665/161442/WHO_RHR_15.02_por.pdf?sequence=3
Boerma T, Ronsmans C, Melesse DY, Barros AJD, Barros IC, Juan L, et al. Global epidemiology of use and disparities in caesarean sections. Lancet [Internet]. 2018 [citado em 20 jan 2021]; 392(10155):1341-8. DOI: 10.1016/S0140-6736(18)31928-7
Occhi GM, Franco Netto TL, Neri MA, Rodrigues EAB, Fernandes ALV. Strategic measures to reduce the caesarean section rate in Brazil. Lancet [Internet]. 2018 [citado em 20 jan 2021]; 392(10155):1290-1. DOI: 10.1016/S0140-6736(18)32407-3
Domingues RMSM, Dias MAB, Nakamura-Pereira M, Torres JA, D’Orsi E, Pereira APE, et al. Process of decision-making regarding the mode of birth in Brazil: from the initial preference of women to the final mode of birth. Cad Saúde Públ. [Internet]. 2014 [citado em 20 jan 2021]; 30(Suppl 1):S101-S116. DOI: 10.1590/0102-311X00105113
Ministério da Saúde (Brasil), Departamento de Informática do Sistema Único de Saúde. Distribuição de nascimentos segundo tipo de parto [Internet]. Brasília, DF: DATASUS; 2019 [citado em 19 fev 2020]. Disponível em: http://tabnet.datasus.gov.br/cgi/tabcgi.exe?sinasc/cnv/nvuf.def.
Torres JA, Domingues RMSM, Sandall J, Hartz Z, Gama SGN, Filha MMT, et al. Caesarean section and neonatal outcomes in private hospitals in Brazil: comparative study of two different perinatal models of care. Cad Saúde Públ. [Internet]. 2014 [citado em 20 jan 2021]; 30(Suppl 1): S220-S231. DOI: 10.1590/0102-311X00129813
Robson MS. Classification of caesarean sections. Fetal Matern Med Rev. [Internet]. 2001 [citado em 20 jan 2021]; 12(1):23-39. DOI:10.1017/S0965539501000122
Souza JP, Betran AP, Dumont A, De Mucio B, Pickens CMG, Deneaux-Tharaux C, et al. A global reference for caesarean section rates (C-model): a multicountry cross-sectional study. BJOG [Internet]. 2016 [citado em 20 jan 2021]; 123:427-36. DOI: 10.1111/1471-0528.13509.
Madi JM, Deon J, Rombaldi RL, Araújo BF, Rombaldi MC, Santos MB. Impacto do parto vaginal após uma cesárea prévia sobre os resultados perinatais. Rev Bras Ginecol Obstet. [Internet]. 2013 [citado em 20 jan 2021]; 35(11):516-22. DOI: 0.1590/S0100-72032013001100007
Betran AP, Iemmermann M, Kindgon C, Mohidlin A, Opiyo N, Torloni MR. Interventions to reduce unnecessary caesarean sections in healthy women and babies. Lancet [Internet]. 2018 [citado em 20 jan 2021]; 392(100155):1358-68. DOI: 10.1016/S0140-6736(18)31927-5
Rezai S, Labine M, Gottimukkala S, Karp S, Sainvil L, Isidore G, Henderson CE. Trial of labor after cesarean section (VBAC) versus repeat cesarean section: a review. Obstet Gynecol Int J. [Internet]. 2016 [citado em 20 jan 2021]; 4(6):00135.DOI:10.15406/ogij.2016.04.00135
American College of Obstetricians and Gynecologists. ACOG Practice Bulletin. Clinical management guidelines for obstetrician-gynecologists. Vaginal birth after cesarean delivery. Obstet Gynecol. [Internet]. 2019 [citado em 06 fev 2020]; 133(2):e110-27. Disponível em: https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2019/02/vaginal-birth-after-cesarean-delivery
Dodd JM, Crowther CA, Huertas E, Guise JM, Horey D. Planned elective repeated caesarean section versus planned vaginal birth for women with a previous caesarean birth. Cochrane Database Syst Rev. [Internet]. 2013 [citado em 20 jan 2021]; 12:CD004224. DOI: 10.1002/14651858.CD004224.pub3
Dodd JM, Crowther CA, Grivell RM, Deussen AR. Elective repeated caesarean section versus induction of labour for women with a caesarean birth. Cochrane Database Syst Rev. [Internet]. 2017 [citado em 20 jan 2021]; 7:CD004906. DOI: 10.1002/14651858.CD004906.pub5.
Alavifard S, Meier K, Shulman Y, Tomlinson G, D’Souza R. Derivation and validation of a model predicting the likehood of vaginal birth following labour induction. BMC Pregnancy Childbirth [Internet]. 2019 [citado em 20 jan 2021]; 19:130. DOI: 10.1186/s12884-019-2232-8
Li YX, Bai Z, Long DJ, Wang HB, Wu YF, Reilly KH, et al. Predicting the sucess of vaginal birth after caesarean delivery: a retrospective cohort study in China. BMJ Open [Internet]. 2019 [citado em 20 jan 2021]; 9:e027807. DOI: 10.1136/bmjopen-2018-027807
Fonseca JE, Rodriguez JL, Salazan DM. Validation of a predictive model of sucessful vaginal birth after cesarean section. Colomb Med. [Internet]. 2019 [citado em 20 jan 2021]; 50(1):13-21. DOI: 10.25100/cm.v50i1.2521
Vankan E, Schoorel E, Kuijk SV, Nijhuir J, Hermens R, Scheepers H. On behalf of the SIMPLE study group. The effect of the use of a decision aid with individual risk estimation on the mode of delivery after a caesarean section: a prospective cohort study. PLoS ONE [Internet]. 2019 [citado em 20 jan 2021]; 14(9):e0222499. DOI: 10.1371/journal.pone.0222499
Rusavy Z, Francova E, Paymora L, Ismail KM, Kalis V. Timing of cesarean and its impact on labor duration and genital tract trauma at the first subsequente vaginal birth: a retrospective cohort study. BMC Pregnancy Childbirth [Internet]. 2019 [citado em 20 jan 2021]; 19:207. DOI:10.1186/s12884-019-2359-7
Ryan G, Doherty KCO, Devane D, McAuliffe, Morrison J. Questionnaire survey on women’s views after a first caesarean delivery in two tertiary centres in Ireland and their preference for involvement in a future randomised trial on mode of birth. BMJ Open [Internet]. 2019 [citado em 20 jan 2021]; 9:e031766. DOI: 10.1136/bmjopen-2019-031766
Jeffries E, Falcone-Wharton A, Daggy J, Edmonds BT. Examining the impact of the vaginal birth after cesarean risk calculator estimation on trial of labor after cesarean counseling. MDM Policy Pract. [Internet]. 2019 [citado em 20 jan 2021]. 4(1):2381468319850830. DOI: 10.1177/2381468319850830
Ministério da Saúde (Br). Comissão Nacional de Incorporação de Tecnologias no SUS. Diretrizes de atenção à gestante: a operação cesariana [Internet]. Brasília, DF: CONITEC; 2016 [citado em 23 abr 2020]. (Relatório de recomendação. Protocolo; 179). Disponível em: http://conitec.gov.br/images/Relatorios/2016/Relatorio_Diretrizes-Cesariana_final.pdf
Krizman E, Grzebielski P, Antony KM, Sampene E, Shanaham M, Irutegoyema JI, et al. Operative vaginal delivery is a safe option in women undergoing a trial labor after cesarean. Am J Perinatol Rep. [Internet]. 2019 [citado em 20 jan 2021]; 9:e190-4. DOI: 10.1055/s-0039-1692482
Published
How to Cite
Issue
Section
License
Each of the authors of the manuscript must complete and sign a copy of Statement of Responsibility and Copyright Transfer Agreement, which must be attached, by the submitting author, in step 4 of the submission process in the journal system (Click on the "Browse" option, select the file that should be inserted in pdf format, click on the "Download" button, in the "Title" field type: Declaration of responsibilities, then click the "Save and Continue" button and proceed with the submission process.
Note: Including scanned signature will not be accepted. Each author of the manuscript must complete a declaration individually.
REFACS de Universidade Federal do Triângulo Mineiro está licenciado com uma Licença Creative Commons - Atribuição-NãoComercial 4.0 Internacional.
Baseado no trabalho disponível em www.uftm.edu.br.
Podem estar disponíveis autorizações adicionais às concedidas no âmbito desta licença em http://www.uftm.edu.br/refacs.