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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This publication is provided for historical reference only and the information may be out of date.
Table O-1Maternal mortality rates for trial of labor versus elective repeat cesarean delivery among any gestational age studies
| Author, year | Study description | N | Overall maternal death (followed by death per 100,000) | Maternal death by delivery type (followed by death per 100,000) |
|---|---|---|---|---|
| Term gestational age | ||||
| Gregory, 20081 | Retrospective cohort Low risk = absence of maternal complications High Risk = any maternal condition ICD9 codes | 41,450 | 2/41,450 (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 20042 | Retrospective Cohort Community Teaching Hospital | 1,408 | 0/1,408 (0%) | TOL: 0/927 ERCD: 0/481 |
| Spong,20073 | MFMU Network cohort 19 University hospitals | 39,117 | 6/39,117 (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, 20044 | Retrospective cohort Canadian Registry ICD9 codes | 308,755 | 12/308,755 (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, 20015 | Prospective Cohort Netherlands Regional hospital | 252 | 0/252 (0%) | TOL: 0/184 ERCD: 0/68 O–1 |
| Eglinton 19846 | Retrospective cohort University Hospital | 871 | 1/871 (0.115%) 115/100,000 | TOL:0/308 ERCD: 1/563 117.6/100,000 |
| Eriksen, 19897 | Retrospective Cohort Military Base | 139 | 0/139 (0%) | TOL: 0/71 ERCD: 0/68 |
| Flamm, 19948 | Prospective cohort 10 Kaiser Hospital in CA | 7,229 | 1/7229 (0.014%) 14/100,000 | TOL 1/5022 (0.020%) 20/100,000 ERCD: 0/2208 (0%) |
| Martin, 19839 | Prospective Cohort 2 University Centers | 709 | 0/709 (0%) | TOL: 0/162 ERCD: 0/547 |
| Obara, 199810 | Prospective Cohort University Hospital, Japan | 310 | 0/310 (0%) | TOL: 0/214 ERCD:0/96 |
| Phelan,198711 | Prospective Cohort University hospital ≤2 prior CD only | 2,643 | 2/2643 (0.076%) 76/100,000 | TOL: 1/1796 (0.056%) 55.7/100,000 RCD: 1/847 (0.118%) |
| Zelop, 199912 | Retrospective Cohort University Hospital | 2,774 | 0/2774 (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]
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- 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]
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- 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]
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- 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]
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- 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]
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- 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]
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- Phelan JP, Clark SL, Diaz F, Paul RH. Vaginal birth after cesarean. Am J Obstet Gynecol. 1987;157(6):1510–1515. [PubMed: 3425654]
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- 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]
- Detailed Maternal Mortality Table - Vaginal Birth After Cesarean: New InsightsDetailed Maternal Mortality Table - Vaginal Birth After Cesarean: New Insights
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