Mode of delivery in a subsequent pregnancy following previous instrumental delivery
- 3 December 2012
- journal article
- research article
- Published by Walter de Gruyter GmbH in jpme
- Vol. 41 (3), 283-286
- https://doi.org/10.1515/jpm-2012-0104
Abstract
Objective: To assess mode of subsequent delivery in women with previous instrumental vaginal delivery. Study design: In this retrospective longitudinal study we followed women who underwent instrumental delivery. The study group included all consecutive parturient women who underwent an instrumental vaginal delivery during a 24-month period (1996–1999). We then identified women who had a subsequent delivery in our center until the end of the year 2010. The control group included women who had a spontaneous vaginal delivery from the same time. Results: During the index period we had 349 consecutive successful instrumental vaginal deliveries. Of those, 125 women had a subsequent delivery in our center (35.8%). In subsequent pregnancies, the spontaneous vaginal delivery rate was 76.8% and 90.4%; the instrumental delivery rate was 8.8% and 1.6%; and the cesarean rate was 14.4% and 8.0%, in the instrumental delivery, and spontaneous vaginal delivery groups, respectively (PConclusion: Women with a previous instrumental delivery are at an increased risk of requiring either an instrumental delivery or a cesarean section in a subsequent pregnancy compared with women with a previous spontaneous vaginal delivery.Keywords
This publication has 3 references indexed in Scilit:
- What to do after a failed attempt of vacuum delivery?European Journal of Obstetrics & Gynecology and Reproductive Biology, 2003
- Subsequent obstetric performance related to primary mode of deliveryBJOG: An International Journal of Obstetrics and Gynaecology, 1999
- Safe epidural anesthesia performed during labor by an obstetricianInternational Journal of Gynecology & Obstetrics, 1991