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Journal of Perinatal Medicine

Official Journal of the World Association of Perinatal Medicine

Editor-in-Chief: Dudenhausen, Joachim W.

Editorial Board Member: / Bancalari, Eduardo / Milner, Anne / Genc, Mehmet R. / Chervenak, Frank A. / Chappelle, Joseph / Bergmann, Renate L. / Bernardes, J.F. / Bevilacqua, G. / Blickstein, Isaac / Cabero Roura, Luis / Carbonell-Estrany, Xavier / Carrera, Jose M. / D`Addario, Vincenzo / D'Alton, MD, Mary E. / Dimitrou, G. / Grunebaum, Amos / Hentschel, Roland / Köpcke, W. / Kawabata, Ichiro / Keirse, Marc J.N.C. / Kurjak M.D., Asim / Lee, Ben H. / Levene, Malcolm / Lockwood, Charles J. / Marsal, Karel / Makatsariya, Alexander / Nishida, Hiroshi / Ogata, Edward / Papp, Zoltán / Pejaver, Ranjan Kumar / Pooh, Ritsuko K. / Romero, Roberto / Saugstad, Ola D. / Schenker, Joseph G. / Sen, Cihat / Seri, Istvan / Vetter, Klaus / Winn, Hung N. / Young, Bruce K. / Zimmermann, Roland

9 Issues per year


IMPACT FACTOR increased in 2015: 1.798
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Online
ISSN
1619-3997
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Volume 41, Issue 2 (Mar 2013)

Issues

Induction of labor after a prior cesarean delivery: lessons from a population-based study

Lea Shatz
  • School of Medicine, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel
/ Lena Novack
  • Department of Epidemiology, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel
/ Moshe Mazor
  • Department of Obstetrics and Gynecology, Soroka University Medical Center, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel
/ Ruthy Beer Weisel
  • Department of Obstetrics and Gynecology, Soroka University Medical Center, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel
/ Doron Dukler
  • Department of Obstetrics and Gynecology, Soroka University Medical Center, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel
/ Tal Rafaeli-Yehudai
  • Department of Obstetrics and Gynecology, Soroka University Medical Center, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel
/ Osnat Israeli
  • Department of Obstetrics and Gynecology, Soroka University Medical Center, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel
/ Offer Erez
  • Corresponding author
  • Department of Obstetrics and Gynecology, Soroka University Medical Center, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel
  • Email:
Published Online: 2012-09-04 | DOI: https://doi.org/10.1515/jpm-2012-0103

Abstract

Objectives: The aims of this study were (1) to determine the success rate of induction of labor (IOL) in women with a prior cesarean section (CS) and (2) to compare the perinatal outcome of a trial of labor (TOL) in women with one prior CS who had an IOL, spontaneous onset of labor, or an elective repeated CS (ERCS).

Material and methods: This study population was divided into three groups: women who had (1) ERCS (n=1916), (2) spontaneous TOL (n=4263), and (3) IOL (n=1576).

Results: (1) The rate of IOL in the study cohort was 20.3%; of these, 67.4% had a successful vaginal birth after cesarean (VBAC). (2) Patients in the spontaneous TOL group had a higher VBAC rate than did those who had IOL (P<0.001). (3) The rate of uterine rupture was comparable among all study groups. And (4) a prior vaginal birth increased the likelihood of having a successful induction and a VBAC by 50%.

Conclusion: IOL in patients with a previous CS is successful in about two-thirds of the cases. Induction is a safe and useful tool that can serve as an alternative for ERCS and assist to reduce the rate of ERCS.

This article offers supplementary material which is provided at the end of the article.

Keywords: Uterine rupture; dehiscence; endometritis; hypoxic ischemic encephalopathy; trial of labor; dystocia

About the article

Corresponding author: Offer Erez, MD, Maternal Fetal Medicine Unit, Department of Obstetrics and Gynecology, Soroka University Medical Center, School of Medicine, Faculty of Health Sciences, Ben Gurion University of the Negev, P.O. Box 151 Beer Sheva 84101, Israel, Tel.: +972-8-6400061, Fax: +972-8-6403294


Received: 2012-05-11

Revised: 2012-07-08

Accepted: 2012-07-30

Published Online: 2012-09-04

Published in Print: 2013-03-01


Citation Information: Journal of Perinatal Medicine, ISSN (Online) 1619-3997, ISSN (Print) 0300-5577, DOI: https://doi.org/10.1515/jpm-2012-0103. Export Citation

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[1]
A. C. Rossi and Federico Prefumo
Archives of Gynecology and Obstetrics, 2015, Volume 291, Number 2, Page 273
[2]
Hila Hochler, Haim Yaffe, Philippe Schwed, and David Mankuta
Obstetrics & Gynecology, 2014, Volume 123, Number 2, PART 1, Page 304

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