full dilatation cesarean section;
second stage cesarean section;
spontaneous preterm birth;
FULL CERVICAL DILATATION;
DELIVERY;
LABOR;
D O I:
10.1002/ijgo.14186
中图分类号:
R71 [妇产科学];
学科分类号:
100211 ;
摘要:
Objective To evaluate the risk of spontaneous preterm birth on subsequent pregnancies after second stage cesarean section. Methods This is a retrospective cohort study. Women were included if they had their two consecutive births in Toulouse University Hospital in the study period. The first birth was a singleton livebirth at term (>= 37 weeks of gestation), divided in three categories according to the mode of delivery: vaginal delivery (group A), cesarean section before the second stage of labor (group B), cesarean section during the second stage of labor (group C). The subsequent pregnancy was the first subsequent pregnancy, conducted after 16 weeks of gestation. The primary outcome was spontaneous preterm birth in the subsequent pregnancy, defined as delivery before 37 weeks of gestation. Secondary endpoints included preterm rupture of membranes in the subsequent pregnancy. Results Between 2003 and 2018, 7776 women (84.7%) in group A, 1263 (13.8%) in group B and 143 (1.5%) in group C were included. The adjusted odds ratio of spontaneous preterm birth before 37 weeks of gestation after second stage cesarean section was 2.4 (group C vs group A + B, 95% confidence interval: 1.2-4.8), P = 0.01). The rate of preterm rupture of membranes was also significantly higher in group C (6% vs 2% in group A, P = 0.009, 6% vs 3% in group B, P= 0.05) with OR = 3.0 (group C vs group A + B, 95% CI: 1.55-6.16, P < 0.001). Conclusion History of term second stage of labor cesarean section is an independent risk factor for spontaneous preterm birth and for preterm rupture of membrane in the subsequent pregnancy.
机构:
Lehigh Valley Hlth Network, Dept Obstet & Gynecol, Div Maternal Fetal Med, Allentown, PA 18103 USA
Univ S Florida, Dept Obstet & Gynecol, Morsani Coll Med, Tampa, FL 33620 USALehigh Valley Hlth Network, Dept Obstet & Gynecol, Div Maternal Fetal Med, Allentown, PA 18103 USA
Quinones, Joanne N.
Gomez, Daniel
论文数: 0引用数: 0
h-index: 0
机构:
Lehigh Valley Hlth Network, Dept Obstet & Gynecol, Div Maternal Fetal Med, Allentown, PA 18103 USA
Univ S Florida, Dept Obstet & Gynecol, Morsani Coll Med, Tampa, FL 33620 USALehigh Valley Hlth Network, Dept Obstet & Gynecol, Div Maternal Fetal Med, Allentown, PA 18103 USA
Gomez, Daniel
Hoffman, Matthew K.
论文数: 0引用数: 0
h-index: 0
机构:
Christiana Care Hlth Syst, Dept Obstet & Gynecol, Newark, DE USALehigh Valley Hlth Network, Dept Obstet & Gynecol, Div Maternal Fetal Med, Allentown, PA 18103 USA
Hoffman, Matthew K.
Ananth, Cande V.
论文数: 0引用数: 0
h-index: 0
机构:
Columbia Univ, Vagelos Coll Phys & Surg, Dept Obstet & Gynecol, New York, NY USA
Columbia Univ, Dept Hlth Policy & Adm, Joseph L Mailman Sch Publ Hlth, New York, NY USALehigh Valley Hlth Network, Dept Obstet & Gynecol, Div Maternal Fetal Med, Allentown, PA 18103 USA
Ananth, Cande V.
Smulian, John C.
论文数: 0引用数: 0
h-index: 0
机构:
Lehigh Valley Hlth Network, Dept Obstet & Gynecol, Div Maternal Fetal Med, Allentown, PA 18103 USA
Univ S Florida, Dept Obstet & Gynecol, Morsani Coll Med, Tampa, FL 33620 USALehigh Valley Hlth Network, Dept Obstet & Gynecol, Div Maternal Fetal Med, Allentown, PA 18103 USA
Smulian, John C.
Skupski, Daniel W.
论文数: 0引用数: 0
h-index: 0
机构:
New York Presbyterian Hosp Queens, Dept Obstet & Gynecol, Flushing, NY USALehigh Valley Hlth Network, Dept Obstet & Gynecol, Div Maternal Fetal Med, Allentown, PA 18103 USA
Skupski, Daniel W.
Fuchs, Karin M.
论文数: 0引用数: 0
h-index: 0
机构:
Columbia Univ, Vagelos Coll Phys & Surg, Dept Obstet & Gynecol, New York, NY USALehigh Valley Hlth Network, Dept Obstet & Gynecol, Div Maternal Fetal Med, Allentown, PA 18103 USA
Fuchs, Karin M.
Scorza, William E.
论文数: 0引用数: 0
h-index: 0
机构:
Lehigh Valley Hlth Network, Dept Obstet & Gynecol, Div Maternal Fetal Med, Allentown, PA 18103 USA
Univ S Florida, Dept Obstet & Gynecol, Morsani Coll Med, Tampa, FL 33620 USALehigh Valley Hlth Network, Dept Obstet & Gynecol, Div Maternal Fetal Med, Allentown, PA 18103 USA
机构:
Kings Coll London, Div Womens Hlth, Womens Hlth Acad Ctr, Maternal & Fetal Res Unit, London WC2R 2LS, England
St Thomas Hosp, Div Reprod & Endocrinol, London, EnglandNHS Fife, Dept Womens Hlth, Kirkcaldy, Fife, Scotland
Vousden, N.
Carter, J.
论文数: 0引用数: 0
h-index: 0
机构:
Kings Coll London, Div Womens Hlth, Womens Hlth Acad Ctr, Maternal & Fetal Res Unit, London WC2R 2LS, England
St Thomas Hosp, Div Reprod & Endocrinol, London, EnglandNHS Fife, Dept Womens Hlth, Kirkcaldy, Fife, Scotland
Carter, J.
Hezelgrave, N.
论文数: 0引用数: 0
h-index: 0
机构:
Kings Coll London, Div Womens Hlth, Womens Hlth Acad Ctr, Maternal & Fetal Res Unit, London WC2R 2LS, England
St Thomas Hosp, Div Reprod & Endocrinol, London, EnglandNHS Fife, Dept Womens Hlth, Kirkcaldy, Fife, Scotland