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  • This publication is provided for historical reference only and the information may be out of date.

This publication is provided for historical reference only and the information may be out of date.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%)
High-risk 1/12,324 (0.008%)
TOL: 0/8,292 (0%)
RCD: 1/20,834 (0.005%)
TOL: 0/3,188 (0%)
ERCD: 1/9,136 (0.011%)
Loebel 20042Retrospective Cohort
Community Teaching Hospital
1,4080/1,408 (0%)TOL: 0/927
ERCD: 0/481
Spong,20073MFMU Network
19 University hospitals
39,1176/39,117 (0.015%)
TOL: 1/15,323 (0.007%)
ERCD: (no indication/no labor): 5/14,993 (0.033%)
All other groups: 0
Wen, 20044Retrospective cohort
Canadian Registry
ICD9 codes
308,75512/308,755 (0.004%)
TOL: 2/128,960 (0.002%)
ERCD: 10/179,795 (0.006%)
Any gestational age
Bais, 20015Prospective Cohort
Regional hospital
2520/252 (0%)TOL: 0/184
ERCD: 0/68 O–1
Eglinton 19846Retrospective cohort
University Hospital
8711/871 (0.115%)
ERCD: 1/563
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%)
TOL 1/5022 (0.020%)
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
Phelan,198711Prospective Cohort
University hospital
≤2 prior CD only
2,6432/2643 (0.076%)
TOL: 1/1796 (0.056%)
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


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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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