Vaginal birth after cesarean section versus elective repeat cesarean delivery: Weight-based outcomes

C. Shannon Carroll; Everett F. Magann; Suneet P. Chauhan; Chad K. Klauser; John C. Morrison; Larry P. Griffin

doi:10.1067/mob.2003.472

Vaginal birth after cesarean section versus elective repeat cesarean delivery: Weight-based outcomes

C. Shannon Carroll, Everett F. Magann, Suneet P. Chauhan, Chad K. Klauser, John C. Morrison, Larry P. Griffin

Research output: Contribution to journal › Article › peer-review

90 Scopus citations

Abstract

OBJECTIVE: The study was undertaken to compare infectious morbidity and trial of labor (TOL) success stratified by weight in women. STUDY DESIGN: Vaginal birth after cesarean section (VBAC) candidates were divided into groups based on prepregnancy weight: group I, 70 (<200 pounds); group II, 70 (200-300 pounds); and group III, 69 (>300 pounds). RESULTS: The TOL success rate was 81.8% in group I compared with 57.1% in group II and 13.3% in group III (P = .001). The overall infectious morbidity was significantly greater in the obese women 39% (P = .001) compared with the average women at 11.4% and the lean women at 5.7%. CONCLUSION: Infectious morbidity is increased and VBAC success is reduced in patients who weigh more than 300 pounds.

Original language	English
Pages (from-to)	1516-1522
Number of pages	7
Journal	American Journal of Obstetrics and Gynecology
Volume	188
Issue number	6
DOIs	https://doi.org/10.1067/mob.2003.472
State	Published - 1 Jun 2003
Externally published	Yes

Keywords

Obesity
Vaginal birth after cesarean
Vaginal birth after cesarean success

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10.1067/mob.2003.472

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@article{0703a8a8f0b642659bf17ea4179ee3e7,

title = "Vaginal birth after cesarean section versus elective repeat cesarean delivery: Weight-based outcomes",

abstract = "OBJECTIVE: The study was undertaken to compare infectious morbidity and trial of labor (TOL) success stratified by weight in women. STUDY DESIGN: Vaginal birth after cesarean section (VBAC) candidates were divided into groups based on prepregnancy weight: group I, 70 (<200 pounds); group II, 70 (200-300 pounds); and group III, 69 (>300 pounds). RESULTS: The TOL success rate was 81.8\% in group I compared with 57.1\% in group II and 13.3\% in group III (P = .001). The overall infectious morbidity was significantly greater in the obese women 39\% (P = .001) compared with the average women at 11.4\% and the lean women at 5.7\%. CONCLUSION: Infectious morbidity is increased and VBAC success is reduced in patients who weigh more than 300 pounds.",

keywords = "Obesity, Vaginal birth after cesarean, Vaginal birth after cesarean success",

author = "Carroll, \{C. Shannon\} and Magann, \{Everett F.\} and Chauhan, \{Suneet P.\} and Klauser, \{Chad K.\} and Morrison, \{John C.\} and Griffin, \{Larry P.\}",

note = "Funding Information: Supported in part by the Vicksburg Hospital Medical Foundation, Vicksburg, Miss. ",

year = "2003",

month = jun,

day = "1",

doi = "10.1067/mob.2003.472",

language = "English",

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pages = "1516--1522",

journal = "American Journal of Obstetrics and Gynecology",

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TY - JOUR

T1 - Vaginal birth after cesarean section versus elective repeat cesarean delivery

T2 - Weight-based outcomes

AU - Carroll, C. Shannon

AU - Magann, Everett F.

AU - Chauhan, Suneet P.

AU - Klauser, Chad K.

AU - Morrison, John C.

AU - Griffin, Larry P.

N1 - Funding Information: Supported in part by the Vicksburg Hospital Medical Foundation, Vicksburg, Miss.

PY - 2003/6/1

Y1 - 2003/6/1

N2 - OBJECTIVE: The study was undertaken to compare infectious morbidity and trial of labor (TOL) success stratified by weight in women. STUDY DESIGN: Vaginal birth after cesarean section (VBAC) candidates were divided into groups based on prepregnancy weight: group I, 70 (<200 pounds); group II, 70 (200-300 pounds); and group III, 69 (>300 pounds). RESULTS: The TOL success rate was 81.8% in group I compared with 57.1% in group II and 13.3% in group III (P = .001). The overall infectious morbidity was significantly greater in the obese women 39% (P = .001) compared with the average women at 11.4% and the lean women at 5.7%. CONCLUSION: Infectious morbidity is increased and VBAC success is reduced in patients who weigh more than 300 pounds.

AB - OBJECTIVE: The study was undertaken to compare infectious morbidity and trial of labor (TOL) success stratified by weight in women. STUDY DESIGN: Vaginal birth after cesarean section (VBAC) candidates were divided into groups based on prepregnancy weight: group I, 70 (<200 pounds); group II, 70 (200-300 pounds); and group III, 69 (>300 pounds). RESULTS: The TOL success rate was 81.8% in group I compared with 57.1% in group II and 13.3% in group III (P = .001). The overall infectious morbidity was significantly greater in the obese women 39% (P = .001) compared with the average women at 11.4% and the lean women at 5.7%. CONCLUSION: Infectious morbidity is increased and VBAC success is reduced in patients who weigh more than 300 pounds.

KW - Obesity

KW - Vaginal birth after cesarean

KW - Vaginal birth after cesarean success

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JO - American Journal of Obstetrics and Gynecology

JF - American Journal of Obstetrics and Gynecology

IS - 6

ER -

Vaginal birth after cesarean section versus elective repeat cesarean delivery: Weight-based outcomes

Abstract

Keywords

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