当前位置： SCI文献检索 > AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY期刊下所有文献 > Mode of delivery for the morbidly obese with prior cesarean delivery: vaginal versus repeat cesarean section.

Mode of delivery for the morbidly obese with prior cesarean delivery: vaginal versus repeat cesarean section.

Abstract：

OBJECTIVE:We sought to describe the peripartum outcome of women weighing >300 pounds (135 kg) who were candidates for trial of labor after a prior cesarean delivery. STUDY DESIGN:All pregnant women who weighed in excess of 300 pounds and had a prior cesarean delivery were included in this prospective investigation. Student t test, chi(2) analysis, or Fisher exact tests were used. Odds ratios and 95% confidence intervals were calculated. P <.05 was considered significant. RESULTS:During a 2-year period, 69 patients met the inclusion criteria; 39 (57%) underwent an elective repeat cesarean delivery, and 30 (43%) women attempted a vaginal delivery after prior cesarean delivery. The demographics of age, race, gravidity, maternal weight, and preexisting medical conditions were similar for the two groups. Vaginal birth after prior cesarean delivery occurred in 13% (4/30). Reasons for failure included a labor arrest disorder in 46%, fetal distress in 38%, and failed induction in 15%. The rates of endometritis and wound breakdown were higher in the women undergoing trial of labor (30% and 23%, respectively) than in those undergoing repeat elective cesarean delivery (20% and 8%). The combined infectious morbidity rate was significantly higher for women attempting trial of labor (53%) than those undergoing elective repeat cesarean delivery (28%; odds ratio 1.78, 95% confidence intervals 1.05, 3.02). CONCLUSION:The success rate for a vaginal delivery in the morbidly obese woman with a prior cesarean delivery is less than 15%, and more than half of the patients undergoing a trial of labor have infectious morbidity.

journal_name

Am J Obstet Gynecol

journal_title

American journal of obstetrics and gynecology

authors

Chauhan SP,Magann EF,Carroll CS,Barrilleaux PS,Scardo JA,Martin JN Jr

doi

10.1067/mob.2001.116729

subject

Has Abstract

pub_date

2001-08-01 00:00:00

pages

349-54

issue

2

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(01)14188-8

journal_volume

185

pub_type

杂志文章

相关文献

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY文献大全
  • Use of the Home Ovarian Monitor in pregnancy avoidance.

    abstract：:The application of the Home Ovarian Hormone Monitor to the avoidance of pregnancy by periodic abstinence has been explored. No woman had difficulty with the daily urine testing, and their results consistently identified the distinctive hormone pattern of the ovulatory cycle and the day of ovulation and correlated clos...

    journal_title：American journal of obstetrics and gynecology

    pub_type： 杂志文章

    doi：10.1016/s0002-9378(11)90568-7

    authors： Brown JB,Holmes J,Barker G

    更新日期：1991-12-01 00:00:00

  • The effect of sex steroids on the skeleton in premenopausal women.

    abstract：:Whereas peak bone mass is genetically determined, the skeletal growth, maturation, and maintenance required to reach this peak may be influenced by physical activity, ovarian function, and nutrition. Estrogen deficiency at menopause leads to increased skeletal remodeling and loss of bone mass, which can result in oste...

    journal_title：American journal of obstetrics and gynecology

    pub_type： 杂志文章,评审

    doi：10.1016/0002-9378(92)91400-5

    authors： Lindsay R

    更新日期：1992-06-01 00:00:00

  • Effect of contraceptive steroids on human lactation.

    abstract：:Biochemical studies to detect changes occurring in the composition of mother's milk from the initiation of proper lactation to weaning were done in a group of 36 postpartum women, volunteers who were either using the conventional contraceptives or taking a low-dose combination pill, a low-dose progestational compound,...

    journal_title：American journal of obstetrics and gynecology

    pub_type： 杂志文章

    doi：10.1016/0002-9378(77)90462-8

    authors： Toddywalla VS,Joshi L,Virkar K

    更新日期：1977-02-01 00:00:00

  • Correlations of placental perfusion and PlGF protein expression in early human pregnancy.

    abstract：OBJECTIVE:The purpose of this study was to investigate temporal correlations between maternal serum placenta growth factor levels and placental perfusion in early human pregnancies. STUDY DESIGN:Systolic umbilical artery Doppler blood flow velocity indices at fetal and placental insertion sites were measured between 7...

    journal_title：American journal of obstetrics and gynecology

    pub_type： 杂志文章

    doi：10.1016/j.ajog.2006.01.012

    authors： Welch PC,Amankwah KS,Miller P,McAsey ME,Torry DS

    更新日期：2006-06-01 00:00:00

  • In vivo uteroplacental release of placental growth factor and soluble Fms-like tyrosine kinase-1 in normal and preeclamptic pregnancies.

    abstract：BACKGROUND:Preeclampsia is characterized by maternal endothelial dysfunction, which underlies a highly diverse clinical presentation. The pathophysiologic condition remains to be unraveled fully, but interplay between factors that are released from the placenta and maternal vascular vulnerability is likely. An imbalanc...

    journal_title：American journal of obstetrics and gynecology

    pub_type： 杂志文章

    doi：10.1016/j.ajog.2016.07.056

    authors： Holme AM,Roland MC,Henriksen T,Michelsen TM

    更新日期：2016-12-01 00:00:00

  • Nutrient intake and congenital heart defects in maternal phenylketonuria.

    abstract：OBJECTIVE:The purpose of this study was to determine whether nutritional components other than high maternal blood phenylalanine levels (> or = 10 mg/dL) are associated with congenital heart defects in the offspring of women with hyperphenylalaninemia. STUDY DESIGN:Of the 414 subjects who had live births, 249 women (6...

    journal_title：American journal of obstetrics and gynecology

    pub_type： 杂志文章

    doi：10.1067/mob.2002.124276

    authors： Michals-Matalon K,Platt LD,Acosta P P,Azen C,Walla CA

    更新日期：2002-08-01 00:00:00

  • Postpartum intrauterine device insertion and postpartum tubal sterilization in the United States.

    abstract：OBJECTIVE:The purpose of this study was to estimate US rates of postpartum intrauterine device (IUD) insertion and postpartum tubal sterilization. STUDY DESIGN:Data from the 2001-2008 Nationwide Inpatient Sample were used to identify delivery hospitalizations with IUD insertion or tubal sterilization procedure codes. ...

    journal_title：American journal of obstetrics and gynecology

    pub_type： 杂志文章

    doi：10.1016/j.ajog.2011.08.004

    authors： Whiteman MK,Cox S,Tepper NK,Curtis KM,Jamieson DJ,Penman-Aguilar A,Marchbanks PA

    更新日期：2012-02-01 00:00:00

  • Shift work, duration of pregnancy, and birth weight: the National Birth Cohort in Denmark.

    abstract：OBJECTIVE:We used the Danish National Birth Cohort to estimate the effect of shift work on the duration of pregnancy and birth weight. STUDY DESIGN:In the Danish National Birth Cohort (1998-2001), we identified women (and their singleton births): 32465 women with daytime work, 1038 women with fixed evening work, 400 w...

    journal_title：American journal of obstetrics and gynecology

    pub_type： 杂志文章

    doi：10.1016/j.ajog.2003.12.002

    authors： Zhu JL,Hjollund NH,Olsen J,National Birth Cohort in Denmark.

    更新日期：2004-07-01 00:00:00

  • Trachelectomy: a review of fifty-five cases.

    abstract：:A retrospective chart review was performed on all patients undergoing trachelectomy in the Roanoke Valley between January 1, 1975 and April 30, 1987. During this period a total of 55 trachelectomies were performed. Fifty-three of the 55 trachelectomies (96%) were performed by the vaginal approach. Forty-seven of the 5...

    journal_title：American journal of obstetrics and gynecology

    pub_type： 杂志文章

    doi：10.1016/s0002-9378(88)80042-5

    authors： Pasley WW

    更新日期：1988-09-01 00:00:00

  • Ritodrine infusion during late pregnancy: effects on fetal and placental blood flow, prostacyclin, and thromboxane.

    abstract：:To study the effects of ritodrine on fetal and placental blood flow and maternal prostacyclin and thromboxane A2, 14 women with premature uterine contractions between the thirty-first and thirty-sixth weeks of pregnancy were treated with intravenous infusions of ritodrine, with incremental doses up to 200 micrograms p...

    journal_title：American journal of obstetrics and gynecology

    pub_type： 杂志文章

    doi：10.1016/0002-9378(85)90374-6

    authors： Jouppila P,Kirkinen P,Koivula A,Ylikorkala O

    更新日期：1985-04-15 00:00:00

  • A review of the mechanisms and evidence for typical and atypical twinning.

    abstract：:The mechanisms responsible for twinning and disorders of twin gestations have been the subject of considerable interest by physicians and scientists, and cases of atypical twinning have called for a reexamination of the fundamental theories invoked to explain twin gestations. This article presents a review of the lite...

    journal_title：American journal of obstetrics and gynecology

    pub_type： 杂志文章,评审

    doi：10.1016/j.ajog.2015.10.930

    authors： McNamara HC,Kane SC,Craig JM,Short RV,Umstad MP

    更新日期：2016-02-01 00:00:00

  • Anatomic relationships of the pelvic autonomic nervous system in female cadavers: clinical applications to pelvic surgery.

    abstract：BACKGROUND:The integrity of the pelvic autonomic nervous system is essential for proper bowel, bladder, and sexual function. OBJECTIVE:The purpose of this study was to characterize the anatomic path of the pelvic autonomic system and to examine relationships to clinically useful landmarks. STUDY DESIGN:Detailed disse...

    journal_title：American journal of obstetrics and gynecology

    pub_type： 杂志文章

    doi：10.1016/j.ajog.2016.12.002

    authors： Ripperda CM,Jackson LA,Phelan JN,Carrick KS,Corton MM

    更新日期：2017-04-01 00:00:00

  • The effect of live and web-based education on the accuracy of blood-loss estimation in simulated obstetric scenarios.

    abstract：OBJECTIVE:Visual estimation of blood loss has been shown to be inaccurate. The objective of this study was to evaluate the impact of a didactic training program on the accuracy of the estimation of blood loss and to compare the effectiveness of training provided by a web-based vs live session. STUDY DESIGN:Multidiscip...

    journal_title：American journal of obstetrics and gynecology

    pub_type： 杂志文章

    doi：10.1016/j.ajog.2009.10.881

    authors： Toledo P,McCarthy RJ,Burke CA,Goetz K,Wong CA,Grobman WA

    更新日期：2010-04-01 00:00:00

  • The effect of cytokine mediators on prostaglandin inhibition by human decidual cells.

    abstract：OBJECTIVE:The purpose of this study was to determine the inhibitory effects of anti-interleukin-1beta and transforming growth factor-beta2 on the production of interleukin-1beta and prostaglandin E2 by human decidual cells. STUDY DESIGN:Decidual membranes were obtained from 30 patients between 37 and 40 weeks' gestati...

    journal_title：American journal of obstetrics and gynecology

    pub_type： 临床试验,杂志文章

    doi：10.1016/s0002-9378(98)70265-0

    authors： Kim YJ,Ahn JJ,Woo BH

    更新日期：1998-07-01 00:00:00

  • The effects of community-acquired pneumonia during pregnancy ending with a live birth.

    abstract：OBJECTIVE:The incidence and outcomes for community-acquired pneumonia during a pregnancy ending with a live birth in the province of Alberta, Canada, were analyzed. STUDY DESIGN:Hospital abstracts and vital statistics data between April 1, 1994, to March 31, 1999, were used. RESULTS:The incidence of hospitalization f...

    journal_title：American journal of obstetrics and gynecology

    pub_type： 杂志文章

    doi：10.1067/mob.2003.175

    authors： Jin Y,Carriere KC,Marrie TJ,Predy G,Johnson DH

    更新日期：2003-03-01 00:00:00

  • Comparison of different modalities of treatment for minimal and mild endometriosis.

    abstract：:This is a retrospective study designed to compare the results of treatment of minimal and mild types of endometriosis with danazol alone, operative laparoscopy and danazol combined, and operative laparoscopy alone. The population consisted of 112 patients with minimal endometriosis and 126 patients with the mild type....

    journal_title：American journal of obstetrics and gynecology

    pub_type： 杂志文章

    doi：10.1016/s0002-9378(88)80173-x

    authors： Fayez JA,Collazo LM,Vernon C

    更新日期：1988-10-01 00:00:00

  • In vitro perfusion studies of the human placenta. VI. Evidence against active glucose transport.

    abstract：:Previous studies in our laboratory using "in vitro" perfusion have established that glucose transport across the human placenta is a carrier-mediated process. It is not known whether these carriers require the expenditure of metabolic energy to function. In the experiments presented here we demonstrate in the perfused...

    journal_title：American journal of obstetrics and gynecology

    pub_type： 杂志文章

    doi：10.1016/0002-9378(79)90013-9

    authors： Rice PA,Rourke JE,Nesbitt RE Jr

    更新日期：1979-03-15 00:00:00

  • Cesarean section deliveries among adolescent mothers enrolled in a comprehensive prenatal care program.

    abstract：:A comparison was made of the incidences of cesarean section deliveries between mothers 18 years of age or younger and those 19 to 21 years of age, all of whom were enrolled in a comprehensive program of prenatal care. Also compared were the indications for surgical delivery between the two groups. The rate of cesarean...

    journal_title：American journal of obstetrics and gynecology

    pub_type： 杂志文章

    doi：10.1016/s0002-9378(85)80033-8

    authors： Leppert PC,Namerow PB,Horowitz E

    更新日期：1985-07-15 00:00:00

  • Diet-treated gestational diabetes mellitus: comparison of early vs routine diagnosis.

    abstract：OBJECTIVE:The purpose of this study was to compare pregnancy outcomes in women with diet-treated gestational diabetes mellitus (GDM) that was diagnosed at < 24 weeks of gestation to those women who received the diagnosis at > or = 24 weeks of gestation. STUDY DESIGN:This was a retrospective cohort study of 2596 women ...

    journal_title：American journal of obstetrics and gynecology

    pub_type： 杂志文章

    doi：10.1016/j.ajog.2007.11.049

    authors： Hawkins JS,Lo JY,Casey BM,McIntire DD,Leveno KJ

    更新日期：2008-03-01 00:00:00

  • Analysis of circulating annexin A5 parameters during pregnancy: absence of differences between women with recurrent spontaneous pregnancy losses and controls.

    abstract：OBJECTIVE:We investigated whether levels of annexin A5 (AnxA5), AnxA5 anticoagulant activity and binding, and anti-AnxA5 antibodies might be altered in women with previous histories of recurrent spontaneous pregnancy losses (RSPL) when tested during pregnancy. STUDY DESIGN:Ninety pregnant women with histories of 3 or ...

    journal_title：American journal of obstetrics and gynecology

    pub_type： 杂志文章

    doi：10.1016/j.ajog.2006.02.034

    authors： Wu XX,Arslan AA,Wein R,Reutelingsperger CP,Lockwood CJ,Kuczynski E,Rand JH

    更新日期：2006-10-01 00:00:00

  • The effects of cardiovascular dynamics monitoring in the outpatient management of pregnancy hypertension.

    abstract：OBJECTIVE:Our purpose was to assess the effects of the adjunctive use of cardiovascular dynamics monitoring in the ambulatory management of 199 pregnant patients with severe hypertension. STUDY DESIGN:A prospective, observational study was performed. Determinants of mean arterial pressure were computed by using the Ho...

    journal_title：American journal of obstetrics and gynecology

    pub_type： 杂志文章

    doi：10.1067/mob.2002.123744

    authors： Fukushima T,Berumen M,Vargas N,Zadeh N,Hon EH

    更新日期：2002-06-01 00:00:00

  • Sequential plasma angiogenic factors levels in women with suspected preeclampsia.

    abstract：BACKGROUND:Alterations in circulating angiogenic factors are associated with the diagnosis of preeclampsia and correlate with adverse perinatal outcomes during the third trimester. OBJECTIVE:Analysis of the sequential levels of plasma angiogenic factors among patients admitted for evaluation of preeclampsia. STUDY DE...

    journal_title：American journal of obstetrics and gynecology

    pub_type： 杂志文章

    doi：10.1016/j.ajog.2016.01.168

    authors： Baltajian K,Bajracharya S,Salahuddin S,Berg AH,Geahchan C,Wenger JB,Thadhani R,Karumanchi SA,Rana S

    更新日期：2016-07-01 00:00:00

  • Stability of risk-adjusted primary cesarean delivery rates over time.

    abstract：OBJECTIVE:The purpose of this study was to compare how hospital rankings, based on risk-adjusted primary cesarean rates, change over time. STUDY DESIGN:Washington State Birth Events records data from 1995 through 1998 were used. Risk-adjustment models were built for each year. Risk-adjusted hospital rankings and outli...

    journal_title：American journal of obstetrics and gynecology

    pub_type： 杂志文章

    doi：10.1016/j.ajog.2003.07.024

    authors： Bailit JL,Garrett JM

    更新日期：2004-02-01 00:00:00

  • Ultrasonographic measurement of liver length in the small-for-gestational-age fetus.

    abstract：OBJECTIVE:Our purpose was to measure fetal liver size in small-for-gestational-age fetuses diagnosed by ultrasonography and to determine whether the small abdominal circumference used to diagnose small for gestational age is the result of a small liver. STUDY DESIGN:Ninety-eight pregnant women who were diagnosed as ha...

    journal_title：American journal of obstetrics and gynecology

    pub_type： 杂志文章

    doi：10.1016/s0002-9378(99)70266-8

    authors： Roberts AB,Mitchell JM,McCowan LM,Barker S

    更新日期：1999-03-01 00:00:00

  • A comparative biomechanical analysis of term fetal membranes in human and domestic species.

    abstract：OBJECTIVE:The purpose of this study was to biomechanically characterize and compare human, porcine, equine, and ovine fetal membranes. STUDY DESIGN:Noncontact metrology was used for topographic analyses. Uniaxial tensile testing was performed to resolve specific biomechanical values. Puncture force and radial stresses...

    journal_title：American journal of obstetrics and gynecology

    pub_type： 杂志文章

    doi：10.1016/j.ajog.2010.12.003

    authors： Borazjani A,Weed BC,Patnaik SS,Feugang JM,Christiansen D,Elder SH,Ryan PL,Liao J

    更新日期：2011-04-01 00:00:00

  • Iatrogenic respiratory distress syndrome. An analysis of obstetric events preceding delivery of infants who develop respiratory distress syndrome.

    abstract：:The obstetric events leading to the birth of infants who developed respiratory distress syndrome (RDS) were evaluated. In a retrospective study of 100 consecutive cases it was determined that untimely or unwarranted physician intervention in the pregnancy was responsible for 15 per cent of cases and possibly responsib...

    journal_title：American journal of obstetrics and gynecology

    pub_type： 杂志文章

    doi：

    authors： Goldenberg RL,Nelson K

    更新日期：1975-11-15 00:00:00

  • Spontaneous preterm birth: advances toward the discovery of genetic predisposition.

    abstract：:Evidence from family and twin-based studies provide strong support for a significant contribution of maternal and fetal genetics to the timing of parturition and spontaneous preterm birth. However, there has been only modest success in the discovery of genes predisposing to preterm birth, despite increasing sophistica...

    journal_title：American journal of obstetrics and gynecology

    pub_type： 杂志文章,评审

    doi：10.1016/j.ajog.2017.12.009

    authors： Strauss JF 3rd,Romero R,Gomez-Lopez N,Haymond-Thornburg H,Modi BP,Teves ME,Pearson LN,York TP,Schenkein HA

    更新日期：2018-03-01 00:00:00

  • Bacterial flora of the cervix in women using different methods of contraception.

    abstract：:Bacteriologic culture samples were taken from the cervix in three groups of 10 healthy, sexually active women using barrier contraception, oral contraceptives, or a levonorgestrel-releasing intrauterine contraceptive device. Culture samples for Candida albicans and Trichomonas vaginalis were taken, a cytologic vaginal...

    journal_title：American journal of obstetrics and gynecology

    pub_type： 杂志文章

    doi：10.1016/0002-9378(86)90594-6

    authors： Haukkamaa M,Stranden P,Jousimies-Somer H,Siitonen A

    更新日期：1986-03-01 00:00:00

  • The impact of prenatal care in different social groups.

    abstract：:An analysis of United States birth certificate records for the calendar year 1977 indicated that women who failed to seek prenatal care were at increased risk of delivery of a low-birth weight infant, even after social factors were considered. However, the strength of association, as well as the population impact, bet...

    journal_title：American journal of obstetrics and gynecology

    pub_type： 杂志文章

    doi：10.1016/0002-9378(83)90681-6

    authors： Greenberg RS

    更新日期：1983-04-01 00:00:00

  • Association between primary vulvar vestibulitis syndrome, defective induction of tumor necrosis factor-alpha, and carriage of the mannose-binding lectin codon 54 gene polymorphism.

    abstract：OBJECTIVE:We evaluated whether women with vulvar vestibulitis syndrome (VVS) could be subdivided on the basis of genotyping the polymorphic mannose-binding lectin (MBL) gene. STUDY DESIGN:DNA from 123 women with VVS was tested for a single nucleotide polymorphism at codon 54 of the MBL gene. Blood samples from 86 of t...

    journal_title：American journal of obstetrics and gynecology

    pub_type： 杂志文章

    doi：10.1016/j.ajog.2007.05.037

    authors： Babula O,Linhares IM,Bongiovanni AM,Ledger WJ,Witkin SS

    更新日期：2008-01-01 00:00:00