Effect of previous vaginal delivery on the risk of uterine rupture during a subsequent trial of labor.

@article{Zelop2000EffectOP,
  title={Effect of previous vaginal delivery on the risk of uterine rupture during a subsequent trial of labor.},
  author={Carolyn M. Zelop and Thomas D. Shipp and John T. Repke and Amy Cohen and Ellice S Lieberman},
  journal={American journal of obstetrics and gynecology},
  year={2000},
  volume={183 5},
  pages={1184-6}
}
OBJECTIVE We examined the effect of prior vaginal delivery on the risk of uterine rupture in pregnant women undergoing a trial of labor after prior cesarean delivery. STUDY DESIGN The medical records of all pregnant women with a history of cesarean delivery who attempted a trial of labor during a 12-year period at a single center were reviewed. For the current analysis, the study population was limited to term pregnancies. The effect of previous vaginal delivery on the risk of uterine rupture… CONTINUE READING

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Mentioned Connections BETA
OxytocinNo subtypeUterus
Logistic regression analysis controlling for duration of labor , induction , birth weight , maternal age , year of birth , epidural analgesia , and oxytocin augmentation indicated that , among women with a single scar , those with a prior vaginal delivery had a risk of uterine rupture that was one fifth that of women without a previous vaginal delivery ( odds ratio , 0.2 ; 95% confidence interval , 0.04 - 0.8 ) .
UterusNo subtypeOxytocin
Logistic regression analysis controlling for duration of labor , induction , birth weight , maternal age , year of birth , epidural analgesia , and oxytocin augmentation indicated that , among women with a single scar , those with a prior vaginal delivery had a risk of uterine rupture that was one fifth that of women without a previous vaginal delivery ( odds ratio , 0.2 ; 95% confidence interval , 0.04 - 0.8 ) .
UterusDirect continuous withVagina
For each of these subgroups , the rate of uterine rupture among women who had > or = 1 prior vaginal delivery was compared with the rate among women with no prior vaginal delivery .
For each of these subgroups , the rate of uterine rupture among women who had > or = 1 prior vaginal delivery was compared with the rate among women with no prior vaginal delivery .
Logistic regression analysis controlling for duration of labor , induction , birth weight , maternal age , year of birth , epidural analgesia , and oxytocin augmentation indicated that , among women with a single scar , those with a prior vaginal delivery had a risk of uterine rupture that was one fifth that of women without a previous vaginal delivery ( odds ratio , 0.2 ; 95% confidence interval , 0.04 - 0.8 ) .
Logistic regression analysis controlling for duration of labor , induction , birth weight , maternal age , year of birth , epidural analgesia , and oxytocin augmentation indicated that , among women with a single scar , those with a prior vaginal delivery had a risk of uterine rupture that was one fifth that of women without a previous vaginal delivery ( odds ratio , 0.2 ; 95% confidence interval , 0.04 - 0.8 ) .
We examined the effect of prior vaginal delivery on the risk of uterine rupture in pregnant women undergoing a trial of labor after prior cesarean delivery .
In the group of 143 pregnant women with > 1 previous cesarean delivery , women with a prior vaginal delivery had a somewhat lower risk of uterine rupture ( 3.9% vs 2.5% ; adjusted odds ratio , 0.6 ; 95% confidence interval , 0.01 - 6.7 ) .
During a subsequent trial of labor , the rate of uterine rupture was 1.1% among pregnant women without prior vaginal delivery and 0.2% among pregnant women with prior vaginal delivery ( P = .01 ) .
During a subsequent trial of labor , the rate of uterine rupture was 1.1% among pregnant women without prior vaginal delivery and 0.2% among pregnant women with prior vaginal delivery ( P = .01 ) .
The effect of previous vaginal delivery on the risk of uterine rupture during a subsequent trial of labor was evaluated .
Among women with 1 prior cesarean delivery undergoing a subsequent trial of labor , those with a prior vaginal delivery were at substantially lower risk of uterine rupture than women without a previous vaginal delivery .
Among women with 1 prior cesarean delivery undergoing a subsequent trial of labor , those with a prior vaginal delivery were at substantially lower risk of uterine rupture than women without a previous vaginal delivery .
UterusDirect superior toVagina
For each of these subgroups , the rate of uterine rupture among women who had > or = 1 prior vaginal delivery was compared with the rate among women with no prior vaginal delivery .
For each of these subgroups , the rate of uterine rupture among women who had > or = 1 prior vaginal delivery was compared with the rate among women with no prior vaginal delivery .
Logistic regression analysis controlling for duration of labor , induction , birth weight , maternal age , year of birth , epidural analgesia , and oxytocin augmentation indicated that , among women with a single scar , those with a prior vaginal delivery had a risk of uterine rupture that was one fifth that of women without a previous vaginal delivery ( odds ratio , 0.2 ; 95% confidence interval , 0.04 - 0.8 ) .
Logistic regression analysis controlling for duration of labor , induction , birth weight , maternal age , year of birth , epidural analgesia , and oxytocin augmentation indicated that , among women with a single scar , those with a prior vaginal delivery had a risk of uterine rupture that was one fifth that of women without a previous vaginal delivery ( odds ratio , 0.2 ; 95% confidence interval , 0.04 - 0.8 ) .
We examined the effect of prior vaginal delivery on the risk of uterine rupture in pregnant women undergoing a trial of labor after prior cesarean delivery .
In the group of 143 pregnant women with > 1 previous cesarean delivery , women with a prior vaginal delivery had a somewhat lower risk of uterine rupture ( 3.9% vs 2.5% ; adjusted odds ratio , 0.6 ; 95% confidence interval , 0.01 - 6.7 ) .
During a subsequent trial of labor , the rate of uterine rupture was 1.1% among pregnant women without prior vaginal delivery and 0.2% among pregnant women with prior vaginal delivery ( P = .01 ) .
During a subsequent trial of labor , the rate of uterine rupture was 1.1% among pregnant women without prior vaginal delivery and 0.2% among pregnant women with prior vaginal delivery ( P = .01 ) .
The effect of previous vaginal delivery on the risk of uterine rupture during a subsequent trial of labor was evaluated .
Among women with 1 prior cesarean delivery undergoing a subsequent trial of labor , those with a prior vaginal delivery were at substantially lower risk of uterine rupture than women without a previous vaginal delivery .
Among women with 1 prior cesarean delivery undergoing a subsequent trial of labor , those with a prior vaginal delivery were at substantially lower risk of uterine rupture than women without a previous vaginal delivery .
UterusNo subtypeVagina
For each of these subgroups , the rate of uterine rupture among women who had > or = 1 prior vaginal delivery was compared with the rate among women with no prior vaginal delivery .
For each of these subgroups , the rate of uterine rupture among women who had > or = 1 prior vaginal delivery was compared with the rate among women with no prior vaginal delivery .
Logistic regression analysis controlling for duration of labor , induction , birth weight , maternal age , year of birth , epidural analgesia , and oxytocin augmentation indicated that , among women with a single scar , those with a prior vaginal delivery had a risk of uterine rupture that was one fifth that of women without a previous vaginal delivery ( odds ratio , 0.2 ; 95% confidence interval , 0.04 - 0.8 ) .
Logistic regression analysis controlling for duration of labor , induction , birth weight , maternal age , year of birth , epidural analgesia , and oxytocin augmentation indicated that , among women with a single scar , those with a prior vaginal delivery had a risk of uterine rupture that was one fifth that of women without a previous vaginal delivery ( odds ratio , 0.2 ; 95% confidence interval , 0.04 - 0.8 ) .
We examined the effect of prior vaginal delivery on the risk of uterine rupture in pregnant women undergoing a trial of labor after prior cesarean delivery .
In the group of 143 pregnant women with > 1 previous cesarean delivery , women with a prior vaginal delivery had a somewhat lower risk of uterine rupture ( 3.9% vs 2.5% ; adjusted odds ratio , 0.6 ; 95% confidence interval , 0.01 - 6.7 ) .
During a subsequent trial of labor , the rate of uterine rupture was 1.1% among pregnant women without prior vaginal delivery and 0.2% among pregnant women with prior vaginal delivery ( P = .01 ) .
During a subsequent trial of labor , the rate of uterine rupture was 1.1% among pregnant women without prior vaginal delivery and 0.2% among pregnant women with prior vaginal delivery ( P = .01 ) .
The effect of previous vaginal delivery on the risk of uterine rupture during a subsequent trial of labor was evaluated .
Among women with 1 prior cesarean delivery undergoing a subsequent trial of labor , those with a prior vaginal delivery were at substantially lower risk of uterine rupture than women without a previous vaginal delivery .
Among women with 1 prior cesarean delivery undergoing a subsequent trial of labor , those with a prior vaginal delivery were at substantially lower risk of uterine rupture than women without a previous vaginal delivery .
VaginaNo subtypeUterus
We examined the effect of prior vaginal delivery on the risk of uterine rupture in pregnant women undergoing a trial of labor after prior cesarean delivery .
The effect of previous vaginal delivery on the risk of uterine rupture during a subsequent trial of labor was evaluated .
For each of these subgroups , the rate of uterine rupture among women who had > or = 1 prior vaginal delivery was compared with the rate among women with no prior vaginal delivery .
During a subsequent trial of labor , the rate of uterine rupture was 1.1% among pregnant women without prior vaginal delivery and 0.2% among pregnant women with prior vaginal delivery ( P = .01 ) .
During a subsequent trial of labor , the rate of uterine rupture was 1.1% among pregnant women without prior vaginal delivery and 0.2% among pregnant women with prior vaginal delivery ( P = .01 ) .
Among women with 1 prior cesarean delivery undergoing a subsequent trial of labor , those with a prior vaginal delivery were at substantially lower risk of uterine rupture than women without a previous vaginal delivery .
For each of these subgroups , the rate of uterine rupture among women who had > or = 1 prior vaginal delivery was compared with the rate among women with no prior vaginal delivery .
Logistic regression analysis controlling for duration of labor , induction , birth weight , maternal age , year of birth , epidural analgesia , and oxytocin augmentation indicated that , among women with a single scar , those with a prior vaginal delivery had a risk of uterine rupture that was one fifth that of women without a previous vaginal delivery ( odds ratio , 0.2 ; 95% confidence interval , 0.04 - 0.8 ) .
In the group of 143 pregnant women with > 1 previous cesarean delivery , women with a prior vaginal delivery had a somewhat lower risk of uterine rupture ( 3.9% vs 2.5% ; adjusted odds ratio , 0.6 ; 95% confidence interval , 0.01 - 6.7 ) .
Logistic regression analysis controlling for duration of labor , induction , birth weight , maternal age , year of birth , epidural analgesia , and oxytocin augmentation indicated that , among women with a single scar , those with a prior vaginal delivery had a risk of uterine rupture that was one fifth that of women without a previous vaginal delivery ( odds ratio , 0.2 ; 95% confidence interval , 0.04 - 0.8 ) .
Among women with 1 prior cesarean delivery undergoing a subsequent trial of labor , those with a prior vaginal delivery were at substantially lower risk of uterine rupture than women without a previous vaginal delivery .
UterusSibling in part ofVagina
For each of these subgroups , the rate of uterine rupture among women who had > or = 1 prior vaginal delivery was compared with the rate among women with no prior vaginal delivery .
For each of these subgroups , the rate of uterine rupture among women who had > or = 1 prior vaginal delivery was compared with the rate among women with no prior vaginal delivery .
Logistic regression analysis controlling for duration of labor , induction , birth weight , maternal age , year of birth , epidural analgesia , and oxytocin augmentation indicated that , among women with a single scar , those with a prior vaginal delivery had a risk of uterine rupture that was one fifth that of women without a previous vaginal delivery ( odds ratio , 0.2 ; 95% confidence interval , 0.04 - 0.8 ) .
Logistic regression analysis controlling for duration of labor , induction , birth weight , maternal age , year of birth , epidural analgesia , and oxytocin augmentation indicated that , among women with a single scar , those with a prior vaginal delivery had a risk of uterine rupture that was one fifth that of women without a previous vaginal delivery ( odds ratio , 0.2 ; 95% confidence interval , 0.04 - 0.8 ) .
We examined the effect of prior vaginal delivery on the risk of uterine rupture in pregnant women undergoing a trial of labor after prior cesarean delivery .
In the group of 143 pregnant women with > 1 previous cesarean delivery , women with a prior vaginal delivery had a somewhat lower risk of uterine rupture ( 3.9% vs 2.5% ; adjusted odds ratio , 0.6 ; 95% confidence interval , 0.01 - 6.7 ) .
During a subsequent trial of labor , the rate of uterine rupture was 1.1% among pregnant women without prior vaginal delivery and 0.2% among pregnant women with prior vaginal delivery ( P = .01 ) .
During a subsequent trial of labor , the rate of uterine rupture was 1.1% among pregnant women without prior vaginal delivery and 0.2% among pregnant women with prior vaginal delivery ( P = .01 ) .
The effect of previous vaginal delivery on the risk of uterine rupture during a subsequent trial of labor was evaluated .
Among women with 1 prior cesarean delivery undergoing a subsequent trial of labor , those with a prior vaginal delivery were at substantially lower risk of uterine rupture than women without a previous vaginal delivery .
Among women with 1 prior cesarean delivery undergoing a subsequent trial of labor , those with a prior vaginal delivery were at substantially lower risk of uterine rupture than women without a previous vaginal delivery .
VaginaSibling in part ofUterus
We examined the effect of prior vaginal delivery on the risk of uterine rupture in pregnant women undergoing a trial of labor after prior cesarean delivery .
The effect of previous vaginal delivery on the risk of uterine rupture during a subsequent trial of labor was evaluated .
For each of these subgroups , the rate of uterine rupture among women who had > or = 1 prior vaginal delivery was compared with the rate among women with no prior vaginal delivery .
During a subsequent trial of labor , the rate of uterine rupture was 1.1% among pregnant women without prior vaginal delivery and 0.2% among pregnant women with prior vaginal delivery ( P = .01 ) .
During a subsequent trial of labor , the rate of uterine rupture was 1.1% among pregnant women without prior vaginal delivery and 0.2% among pregnant women with prior vaginal delivery ( P = .01 ) .
Among women with 1 prior cesarean delivery undergoing a subsequent trial of labor , those with a prior vaginal delivery were at substantially lower risk of uterine rupture than women without a previous vaginal delivery .
For each of these subgroups , the rate of uterine rupture among women who had > or = 1 prior vaginal delivery was compared with the rate among women with no prior vaginal delivery .
Logistic regression analysis controlling for duration of labor , induction , birth weight , maternal age , year of birth , epidural analgesia , and oxytocin augmentation indicated that , among women with a single scar , those with a prior vaginal delivery had a risk of uterine rupture that was one fifth that of women without a previous vaginal delivery ( odds ratio , 0.2 ; 95% confidence interval , 0.04 - 0.8 ) .
In the group of 143 pregnant women with > 1 previous cesarean delivery , women with a prior vaginal delivery had a somewhat lower risk of uterine rupture ( 3.9% vs 2.5% ; adjusted odds ratio , 0.6 ; 95% confidence interval , 0.01 - 6.7 ) .
Logistic regression analysis controlling for duration of labor , induction , birth weight , maternal age , year of birth , epidural analgesia , and oxytocin augmentation indicated that , among women with a single scar , those with a prior vaginal delivery had a risk of uterine rupture that was one fifth that of women without a previous vaginal delivery ( odds ratio , 0.2 ; 95% confidence interval , 0.04 - 0.8 ) .
Among women with 1 prior cesarean delivery undergoing a subsequent trial of labor , those with a prior vaginal delivery were at substantially lower risk of uterine rupture than women without a previous vaginal delivery .
UterusSibling in is aVagina
For each of these subgroups , the rate of uterine rupture among women who had > or = 1 prior vaginal delivery was compared with the rate among women with no prior vaginal delivery .
For each of these subgroups , the rate of uterine rupture among women who had > or = 1 prior vaginal delivery was compared with the rate among women with no prior vaginal delivery .
Logistic regression analysis controlling for duration of labor , induction , birth weight , maternal age , year of birth , epidural analgesia , and oxytocin augmentation indicated that , among women with a single scar , those with a prior vaginal delivery had a risk of uterine rupture that was one fifth that of women without a previous vaginal delivery ( odds ratio , 0.2 ; 95% confidence interval , 0.04 - 0.8 ) .
Logistic regression analysis controlling for duration of labor , induction , birth weight , maternal age , year of birth , epidural analgesia , and oxytocin augmentation indicated that , among women with a single scar , those with a prior vaginal delivery had a risk of uterine rupture that was one fifth that of women without a previous vaginal delivery ( odds ratio , 0.2 ; 95% confidence interval , 0.04 - 0.8 ) .
We examined the effect of prior vaginal delivery on the risk of uterine rupture in pregnant women undergoing a trial of labor after prior cesarean delivery .
In the group of 143 pregnant women with > 1 previous cesarean delivery , women with a prior vaginal delivery had a somewhat lower risk of uterine rupture ( 3.9% vs 2.5% ; adjusted odds ratio , 0.6 ; 95% confidence interval , 0.01 - 6.7 ) .
During a subsequent trial of labor , the rate of uterine rupture was 1.1% among pregnant women without prior vaginal delivery and 0.2% among pregnant women with prior vaginal delivery ( P = .01 ) .
During a subsequent trial of labor , the rate of uterine rupture was 1.1% among pregnant women without prior vaginal delivery and 0.2% among pregnant women with prior vaginal delivery ( P = .01 ) .
The effect of previous vaginal delivery on the risk of uterine rupture during a subsequent trial of labor was evaluated .
Among women with 1 prior cesarean delivery undergoing a subsequent trial of labor , those with a prior vaginal delivery were at substantially lower risk of uterine rupture than women without a previous vaginal delivery .
Among women with 1 prior cesarean delivery undergoing a subsequent trial of labor , those with a prior vaginal delivery were at substantially lower risk of uterine rupture than women without a previous vaginal delivery .
VaginaSibling in is aUterus
We examined the effect of prior vaginal delivery on the risk of uterine rupture in pregnant women undergoing a trial of labor after prior cesarean delivery .
The effect of previous vaginal delivery on the risk of uterine rupture during a subsequent trial of labor was evaluated .
For each of these subgroups , the rate of uterine rupture among women who had > or = 1 prior vaginal delivery was compared with the rate among women with no prior vaginal delivery .
During a subsequent trial of labor , the rate of uterine rupture was 1.1% among pregnant women without prior vaginal delivery and 0.2% among pregnant women with prior vaginal delivery ( P = .01 ) .
During a subsequent trial of labor , the rate of uterine rupture was 1.1% among pregnant women without prior vaginal delivery and 0.2% among pregnant women with prior vaginal delivery ( P = .01 ) .
Among women with 1 prior cesarean delivery undergoing a subsequent trial of labor , those with a prior vaginal delivery were at substantially lower risk of uterine rupture than women without a previous vaginal delivery .
For each of these subgroups , the rate of uterine rupture among women who had > or = 1 prior vaginal delivery was compared with the rate among women with no prior vaginal delivery .
Logistic regression analysis controlling for duration of labor , induction , birth weight , maternal age , year of birth , epidural analgesia , and oxytocin augmentation indicated that , among women with a single scar , those with a prior vaginal delivery had a risk of uterine rupture that was one fifth that of women without a previous vaginal delivery ( odds ratio , 0.2 ; 95% confidence interval , 0.04 - 0.8 ) .
In the group of 143 pregnant women with > 1 previous cesarean delivery , women with a prior vaginal delivery had a somewhat lower risk of uterine rupture ( 3.9% vs 2.5% ; adjusted odds ratio , 0.6 ; 95% confidence interval , 0.01 - 6.7 ) .
Logistic regression analysis controlling for duration of labor , induction , birth weight , maternal age , year of birth , epidural analgesia , and oxytocin augmentation indicated that , among women with a single scar , those with a prior vaginal delivery had a risk of uterine rupture that was one fifth that of women without a previous vaginal delivery ( odds ratio , 0.2 ; 95% confidence interval , 0.04 - 0.8 ) .
Among women with 1 prior cesarean delivery undergoing a subsequent trial of labor , those with a prior vaginal delivery were at substantially lower risk of uterine rupture than women without a previous vaginal delivery .
VaginaDirect continuous withUterus
We examined the effect of prior vaginal delivery on the risk of uterine rupture in pregnant women undergoing a trial of labor after prior cesarean delivery .
The effect of previous vaginal delivery on the risk of uterine rupture during a subsequent trial of labor was evaluated .
For each of these subgroups , the rate of uterine rupture among women who had > or = 1 prior vaginal delivery was compared with the rate among women with no prior vaginal delivery .
During a subsequent trial of labor , the rate of uterine rupture was 1.1% among pregnant women without prior vaginal delivery and 0.2% among pregnant women with prior vaginal delivery ( P = .01 ) .
During a subsequent trial of labor , the rate of uterine rupture was 1.1% among pregnant women without prior vaginal delivery and 0.2% among pregnant women with prior vaginal delivery ( P = .01 ) .
Among women with 1 prior cesarean delivery undergoing a subsequent trial of labor , those with a prior vaginal delivery were at substantially lower risk of uterine rupture than women without a previous vaginal delivery .
For each of these subgroups , the rate of uterine rupture among women who had > or = 1 prior vaginal delivery was compared with the rate among women with no prior vaginal delivery .
Logistic regression analysis controlling for duration of labor , induction , birth weight , maternal age , year of birth , epidural analgesia , and oxytocin augmentation indicated that , among women with a single scar , those with a prior vaginal delivery had a risk of uterine rupture that was one fifth that of women without a previous vaginal delivery ( odds ratio , 0.2 ; 95% confidence interval , 0.04 - 0.8 ) .
In the group of 143 pregnant women with > 1 previous cesarean delivery , women with a prior vaginal delivery had a somewhat lower risk of uterine rupture ( 3.9% vs 2.5% ; adjusted odds ratio , 0.6 ; 95% confidence interval , 0.01 - 6.7 ) .
Logistic regression analysis controlling for duration of labor , induction , birth weight , maternal age , year of birth , epidural analgesia , and oxytocin augmentation indicated that , among women with a single scar , those with a prior vaginal delivery had a risk of uterine rupture that was one fifth that of women without a previous vaginal delivery ( odds ratio , 0.2 ; 95% confidence interval , 0.04 - 0.8 ) .
Among women with 1 prior cesarean delivery undergoing a subsequent trial of labor , those with a prior vaginal delivery were at substantially lower risk of uterine rupture than women without a previous vaginal delivery .
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