Parto vaginal después dos cesáreas. ¿Es una práctica segura?
DOI:
https://doi.org/10.61997/bjm.v14i1.448Palabras clave:
Cesárea, Parto, Ruptura uterina, Complicaciones obstétricasResumen
Introduction: A widely held belief is that a mother who has had a cesarean section will no longer be able to deliver vaginally; however, there is evidence that it is possible even with two or more previous cesarean sections. Objective: To describe the results of vaginal delivery after one and two previous cesarean sections in a secondary care hospital in Djibouti. Methods: A descriptive, longitudinal study was conducted, which included patients with one or two previous cesarean sections more than two years ago, in labor, with no condition contraindicating transpelvic delivery. Results: All patients with two previous cesarean sections, and 96.9% of those with one previous cesarean section, were delivered with more than 4cm of cervical dilation. When the Flamm score was applied, 18 of the 33 patients with a previous cesarean section had a high probability of success if vaginal delivery was continued. The overall success rate with one previous cesarean section was 78.8%, and 87.5% with a history of two cesarean sections. There were 8 complications, 7 of which occurred in patients with only one previous cesarean section. The most frequent complication was immediate postpartum hemorrhage. Conclusions: The frequency of successful vaginal delivery after one or two cesarean sections was high. The prediction was more accurate for the group with two previous cesarean sections, although in both groups, when the Flamm score was high, vaginal delivery was almost always possible.
Descargas
Citas
Carroll CS Sr, Magann EF, Chauhan SP, Klauser CK, Morrison JC. Vaginal birth after cesarean section versus elective repeat cesarean delivery: weight-based outcomes. Am J Obstet Gynecol. 2003; 188:1516-20; discussion 1520-2. doi: 10.1067/mob.2003.472 DOI: https://doi.org/10.1067/mob.2003.472
Committee on Practice Bulletins-Obstetrics, Society for Maternal-Fetal Medicine. Practice Bulletin No. 169: Multifetal Gestations: Twin, Triplet, and Higher-Order Multifetal Pregnancies. Obstet Gynecol. 2016; 128:e131. Reaffirmed 2019. doi: 10.1097/aog.0000000000001709 DOI: https://doi.org/10.1097/AOG.0000000000001709
Eden KB, Denman MA, Emeis CL, McDonagh MS, Fu R, Janik RK, et al. Trial of labor and vaginal delivery rates in women with a prior cesarean. J Obstet Gynecol Neonatal Nurs. 2012; 41: 583-98. doi: 10.1111/j.1552-6909.2012.01388.x DOI: https://doi.org/10.1111/j.1552-6909.2012.01388.x
Flamm BL, Geiger AM. Vaginal birth after cesarean delivery: an admission scoring system. Obstet Gynecol. 1997; 90(6):907-10. doi: 10.1016/s0029-7844(97)00531-0 DOI: https://doi.org/10.1016/S0029-7844(97)00531-0
Cahill AG, Tuuli M, Odibo AO, Stamilio DM, Macones GA. Vaginal birth after caesarean for women with three or more prior caesareans: assessing safety and success. BJOG. 2010; 117(4):422-7. doi: 10.1111/j.1471-0528.2010.02498.x DOI: https://doi.org/10.1111/j.1471-0528.2010.02498.x
Arusi TT, Zewdu Assefa D, Gutulo MG, Gensa Geta T. Predictors of Uterine Rupture After One Previous Cesarean Section: An Unmatched Case-Control Study. Int J Womens Health. 2023; 15:1491-1500. doi: 10.2147/IJWH DOI: https://doi.org/10.2147/IJWH.S427749
Fruscalzo A, Rossetti E, Londero AP. Trial of Labor after Three or More Previous Cesarean Sections: Systematic Review and Meta-Analysis of Observational Studies. Z Geburtshilfe Neonatol. 2023; 227(2):96-105. doi: 10.1055/a-1965-4125 DOI: https://doi.org/10.1055/a-1965-4125
Flis W, Socha MW, Wartęga M, Cudnik R. Unexpected Uterine Rupture-A Case Report, Review of the Literature and Clinical Suggestions. J Clin Med. 2023; 12(10):3532. doi: 10.3390/jcm12103532 DOI: https://doi.org/10.3390/jcm12103532
Macones GA, Peipert J, Nelson DB, Odibo A, Stevens EJ, Stamilio DM, et al. Maternal complications with vaginal birth after cesarean delivery: a multicenter study. Am J Obstet Gynecol. 2005; 193(5):1656-62. doi: 10.1016/j.ajog.2005.04.002 DOI: https://doi.org/10.1016/j.ajog.2005.04.002
Horgan R, Hossain S, Fulginiti A, Patras A, Massaro R, Abuhamad AZ, et al. Trial of labor after two cesarean sections: A retrospective case-control study. J Obstet Gynaecol Res. 2022; 48(10):2528-33. doi: 10.1111/jog.15351 DOI: https://doi.org/10.1111/jog.15351
Charitou A, Charos D, Vamenou I, Vivilaki VG. Maternal and neonatal outcomes for women giving birth after previous cesarean. Eur J Midwifery. 2019; 3:8. doi: 10.18332/ejm/108297 DOI: https://doi.org/10.18332/ejm/108297
Wu Y, Kataria Y, Wang Z, Ming WK, Ellervik C. Factors associated with successful vaginal birth after a cesarean section: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2019 Oct; 19(1):360. doi: 10.1186/s12884-019-2517-y DOI: https://doi.org/10.1186/s12884-019-2517-y
Denham SH, Humphrey T, deLabrusse C, Dougall N. Mode of birth after caesarean section: individual prediction scores using Scottish population data. BMC Pregnancy Childbirth. 2019; 19(1):84. doi: 10.1186/s12884-019-2226-6 DOI: https://doi.org/10.1186/s12884-019-2226-6
Larsson C, Djuvfelt E, Lindam A, Tunón K, Nordin P. Surgical complications after caesarean section: A population-based cohort study. PLoS One. 2021; 16(10):e0258222. doi: 10.1371/journal.pone.0258222 DOI: https://doi.org/10.1371/journal.pone.0258222
Familiari A, Neri C, Caruso A, Airoldi C, Barone-Adesi F, Zanconato G, Bolomini G, Presti F. Vaginal birth after caesarean section: a multicentre study on prognostic factors and feasibility. Arch Gynecol Obstet. 2020; 301(2):509-15. doi: 10.1007/s00404-020-05454-0 DOI: https://doi.org/10.1007/s00404-020-05454-0
Girma Y, Menlkalew Z, Destaw A. Vaginal delivery after caesarean section and its associated factors in Mizan Tepi University Teaching Hospital, Southwest Ethiopia. Heliyon. 2021; 7(11):e08276. doi: 10.1016/j.heliyon.2021.e08276 DOI: https://doi.org/10.1016/j.heliyon.2021.e08276
Shehu CE, Chapa AM, Mbakwe MN, Panti AA. Vaginal birth after caesarean section (VBAC): a 5-year review. Eur J Pharm Med Res. 2019; 6(8):59-64. Disponible en: https://www.ejpmr.com/home/abstract_id/5436
Nisa, M. Hassan, L. Trend of vaginal delivery after one previous caesarean section in a tertiary care hospital. Pakistan J. Med. Res. 2004; 43.
Tsai HT, Wu CH. Vaginal birth after cesarean section-The world trend and local experience in Taiwan. Taiwan J Obstet Gynecol. 2017; 56(1):41-5. doi: 10.1016/j.tjog.2016.03.007 DOI: https://doi.org/10.1016/j.tjog.2016.03.007
De Leo R, La Gamba DA, Manzoni P, De Lorenzi R, Torresan S, Franchi M, et al. Vaginal Birth after Two Previous Cesarean Sections versus Elective Repeated Cesarean: A Retrospective Study. Am J Perinatol. 2020; 37(S 02):S84-S88. doi: 10.1055/s-0040-1714344 DOI: https://doi.org/10.1055/s-0040-1714344
Sahin S, Ozkaya E, Eroglu M, Sanverdi I, Celik Z, Cakıroglu A. Predictors of successful vaginal birth after a caesarean in women with a previous single caesarean delivery. Eur Rev Med Pharmacol Sci. 2022; 26(5):1594-600. doi: 10.26355/eurrev_202203_28226
Li YX, Bai Z, Long DJ, Wang HB, Wu YF, Reilly KH, et al. Predicting the success of vaginal birth after caesarean delivery: a retrospective cohort study in China. BMJ Open. 2019; 9(5):e027807. doi: 10.1136/bmjopen-2018-027807 DOI: https://doi.org/10.1136/bmjopen-2018-027807
Bălălău OD, Bacalbașa N, Olaru OG, Pleș L, Stănescu DA. Vaginal birth after cesarean section – literature review and modern guidelines. J Clin Invest Surg. 2020; 5(1): 13-17. doi: 10.25083/2559.5555/5.1/13.17 DOI: https://doi.org/10.25083/2559.5555/5.1/13.17
Lin J, Hou Y, Ke Y, Zeng W, Gu W. Establishment and validation of a prediction model for vaginal delivery after cesarean and its pregnancy outcomes-Based on a prospective study. Eur J Obstet Gynecol Reprod Biol. 2019; 242:114-21. doi: 10.1016/j.ejogrb.2019.09.015 DOI: https://doi.org/10.1016/j.ejogrb.2019.09.015
Davis D, S Homer C, Clack D, Turkmani S, Foureur M. Choosing vaginal birth after caesarean section: Motivating factors. Midwifery. 2020; 88:102766. doi: 10.1016/j.midw.2020.102766 DOI: https://doi.org/10.1016/j.midw.2020.102766
Firoozi M, Tara F, Ahanchian MR, Latifnejad Roudsari R. Health Care System Barriers to Vaginal Birth after Cesarean Section: A Qualitative Study. Iran J Nurs Midwifery Res. 2020; 25(3):202-11. doi: 10.4103/ijnmr.IJNMR_150_19 DOI: https://doi.org/10.4103/ijnmr.IJNMR_150_19
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2025 Deivys Rodríguez Navarro, Saraima Kendra Guerra Calvo
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial 4.0.
BJM protege en todo momento los Derechos de autor. Sin embargo, cede parte de los derechos patrimoniales al exhibir una licencia Creative Commons 4.0 (cc-by-nc), que permite el uso de la obra para compartir (copiar y redistribuir el material en cualquier medio o formato) y adaptar (remezclar, transformar y construir a partir del material) siempre y cuando se haga mención exclusiva a la publicación en la revista como fuente primaria. Bajo ninguna circunstancia se podrá comercializar con la obra.
