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Guise JM, Eden K, Emeis C, et al. Vaginal Birth After Cesarean: New Insights. Rockville (MD): Agency for Healthcare Research and Quality (US); 2010 Mar. (Evidence Reports/Technology Assessments, No. 191.)

  • This publication is provided for historical reference only and the information may be out of date.

This publication is provided for historical reference only and the information may be out of date.

Appendix ODetailed Maternal Mortality Table

Table O-1Maternal mortality rates for trial of labor versus elective repeat cesarean delivery among any gestational age studies

Author, yearStudy descriptionNOverall maternal death (followed by death per 100,000)Maternal death by delivery type (followed by death per 100,000)
Term gestational age
Gregory, 20081Retrospective cohort
Low risk = absence of maternal complications
High Risk = any maternal condition ICD9 codes
41,4502/41,450 (0.005%)
Overall: 5/100,000
Low-risk 1/29,126 (0.003%)
3/100,000
High-risk 1/12,324 (0.008%)
8/100,000
Low-risk
TOL: 0/8,292 (0%)
RCD: 1/20,834 (0.005%)
4.7/100,000
High-risk
TOL: 0/3,188 (0%)
ERCD: 1/9,136 (0.011%)
10.9/100,000
Loebel 20042Retrospective Cohort
Community Teaching Hospital
1,4080/1,408 (0%)TOL: 0/927
ERCD: 0/481
Spong,20073MFMU Network
cohort
19 University hospitals
39,1176/39,117 (0.015%)
15/100,000
TOL: 1/15,323 (0.007%)
6.5/100,000
ERCD: (no indication/no labor): 5/14,993 (0.033%)
33.3/100,000
All other groups: 0
Wen, 20044Retrospective cohort
Canadian Registry
ICD9 codes
308,75512/308,755 (0.004%)
4/100,000
TOL: 2/128,960 (0.002%)
15/100,000
ERCD: 10/179,795 (0.006%)
5.6/100,000
Any gestational age
Bais, 20015Prospective Cohort
Netherlands
Regional hospital
2520/252 (0%)TOL: 0/184
ERCD: 0/68 O–1
Eglinton 19846Retrospective cohort
University Hospital
8711/871 (0.115%)
115/100,000
TOL:0/308
ERCD: 1/563
117.6/100,000
Eriksen, 19897Retrospective Cohort
Military Base
1390/139 (0%)TOL: 0/71
ERCD: 0/68
Flamm, 19948Prospective cohort
10 Kaiser Hospital in CA
7,2291/7229 (0.014%)
14/100,000
TOL 1/5022 (0.020%)
20/100,000
ERCD: 0/2208 (0%)
Martin, 19839Prospective Cohort
2 University Centers
7090/709 (0%)TOL: 0/162
ERCD: 0/547
Obara, 199810Prospective Cohort University
Hospital, Japan
3100/310 (0%)TOL: 0/214
ERCD:0/96
Phelan,198711Prospective Cohort
University hospital
≤2 prior CD only
2,6432/2643 (0.076%)
76/100,000
TOL: 1/1796 (0.056%)
55.7/100,000
RCD: 1/847 (0.118%)
Zelop, 199912Retrospective Cohort
University Hospital
2,7740/2774 (0%)Not reported

Abbreviations: CA=California; CD=cesarean delivery; ERCD=elective repeat cesarean delivery; ICD-9= International Classification of Diseases, 9th Edition/Revision; MFMU=Maternal Fetal Medicine Units; RCD=repeat cesarean delivery; TOL=trial of labor

References

1.
Gregory KD, Korst LM, Fridman M, et al. Vaginal birth after cesarean: clinical risk factors associated with adverse outcome. Am J Obstet Gynecol. 2008;198(4):452.e451–410. discussion 452.e410–452. [PubMed: 18395037]
2.
Loebel G, Zelop CM, Egan JFX, Wax J. Maternal and neonatal morbidity after elective repeat Cesarean delivery versus a trial of labor after previous Cesarean delivery in a community teaching hospital. J Matern Fetal Neonatal Med. 2004;15(4):243–246. [PubMed: 15280132]
3.
Spong CY, Landon MB, Gilbert S, et al. Risk of uterine rupture and adverse perinatal outcome at term after cesarean delivery. Obstet Gynecol. 2007;110(4):801–807. [PubMed: 17906012]
4.
Wen SW, Rusen ID, Walker M, et al. Comparison of maternal mortality and morbidity between trial of labor and elective cesarean section among women with previous cesarean delivery. Am J Obstet Gynecol. 2004;191(4):1263–1269. [PubMed: 15507951]
5.
Bais JM, van der Borden DM, Pel M, et al. Vaginal birth after caesarean section in a population with a low overall caesarean section rate. Eur J Obstet Gynecol Reprod Biol. 2001;96(2):158–162. [PubMed: 11384799]
6.
Eglinton GS, Phelan JP, Yeh S, Diaz FP, Wallace TM, Paul RH. Outcome of a trial of labor after prior cesarean delivery. J Reprod Med. 1984;29(1):3–8. [PubMed: 6708017]
7.
Eriksen NL, Buttino L Jr. Vaginal birth after cesarean: a comparison of maternal and neonatal morbidity to elective repeat cesarean section. Am J Perinatol. 1989;6(4):375–379. [PubMed: 2789534]
8.
Flamm BL, Goings JR, Liu Y, Wolde-Tsadik G. Elective repeat cesarean delivery versus trial of labor: a prospective multicenter study. Obstet Gynecol. 1994;83(6):927–932. [PubMed: 8190433]
9.
Martin JN Jr, Harris BA Jr, Huddleston JF, et al. Vaginal delivery following previous cesarean birth. Am J Obstet Gynecol. 1983;146(3):255–263. [PubMed: 6859134]
10.
Obara H, Minakami H, Koike T, Takamizawa S, Matsubara S, Sato I. Vaginal birth after cesarean delivery: results in 310 pregnancies. J Obstet Gynaecol Res. 1998;24(2):129–134. [PubMed: 9631601]
11.
Phelan JP, Clark SL, Diaz F, Paul RH. Vaginal birth after cesarean. Am J Obstet Gynecol. 1987;157(6):1510–1515. [PubMed: 3425654]
12.
Zelop CM, Shipp TD, Repke JT, Cohen A, Caughey AB, Lieberman E. Uterine rupture during induced or augmented labor in gravid women with one prior cesarean delivery. Am J Obstet Gynecol. 1999;181(4):882–886. [PubMed: 10521747]
Cover of Vaginal Birth After Cesarean: New Insights
Vaginal Birth After Cesarean: New Insights.
Evidence Reports/Technology Assessments, No. 191.
Guise JM, Eden K, Emeis C, et al.

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