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Vaginal birth after caesarean delivery: does maternal age affect safety and success?


, : Vaginal birth after caesarean delivery: does maternal age affect safety and success?. Paediatric and Perinatal Epidemiology 21(2): 114-120

To estimate maternal age effects on the rates of vaginal birth after caesarean delivery (VBAC), the related maternal complications and patient election to attempt VBAC, we conducted a secondary analysis of a retrospective cohort study of women who were offered VBAC from 1996 to 2000 in 17 community and university hospitals. We used bivariable and multivariable analyses to assess the association between maternal age and the study outcomes. A total of 25 005 patients were included, of whom 13 706 (54.81%) elected to attempt VBAC. After controlling for several confounding variables, using ages 21-34 years as the referent group, women aged 15-20 years were 27% less likely to have a failed VBAC attempt (OR = 0.73 [0.62, 0.87], P < 0.001). Analysing maternal age as a dichotomous variable, women who were of advanced maternal age (>or=35 years) were more likely to experience an unsuccessful trial of labour (OR = 1.14 [1.03, 1.25], P = 0.009). In addition, women >or=35 years of age had 39% more risk of experiencing one of the VBAC-related operative complications (OR = 1.39 [1.02, 1.89], P = 0.039). As women increase in age, they are less likely to attempt VBAC and more likely to have an unsuccessful labour trial. While teenage patients do not appear to be at increased risk for VBAC-related complications, patients of advanced maternal age do show an increase in composite VBAC-related operative complication rates.

US$19.90

PMID: 17302640

DOI: 10.1111/j.1365-3016.2007.00794.x


Other references

Famaey, J.P., 1982: Phospholipases, eicosanoid production and inflammation. Clinical Rheumatology 1(2): 84-94

Kay, G.W.; Palmer, D.N.; Rezaie, P.; Cooper, J.D., 2006: Activation of non-neuronal cells within the prenatal developing brain of sheep with neuronal ceroid lipofuscinosis. The neuronal ceroid lipofuscinoses (NCLs, Batten disease) are fatal inherited lysosomal storage diseases of children characterized by increasing blindness, seizures and profound neurodegeneration but the mechanisms leading to these pathological ch...

Johnsen, H.Erik.; Bøgsted, M.; Schmitz, A.; Bødker, J.Støve.; El-Galaly, T.Christoffer.; Johansen, P.; Valent, P.; Zojer, N.; Van Valckenborgh, E.; Vanderkerken, K.; van Duin, M.; Sonneveld, P.; Perez-Andres, M.; Orfao, A.; Dybkær, K., 2016: The myeloma stem cell concept, revisited: from phenomenology to operational terms. NlmCategory="UNASSIGNED">The concept of the myeloma stem cell may have important therapeutic implications, yet its demonstration has been hampered by a lack of consistency in terms and definitions. Here, we summarize the current docum...

Sellett, L.C.; Peters, B.P., 1993: Cell adhesive activity of a human basement membrane heparan sulfate proteoglycan demonstrated by digital videography. Journal of Cellular Biochemistry Supplement 0(17 PART E): 164

Christiansen, M.; Madsen, H., 1948: Eimeria bucephalae n. sp. (Coccidia) pathogenic in goldeneyo (Bucephala clangula L.) in Denmark. Danish Review of Game Biology, 1(2): 61-73

Jessup, D.A., 1980: Valvular endocarditis and bacteremia in a bald eagle. A thickened left atrioventricular valve and a discolored, mottled liver were the only lesions noted in an adult male bald eagle (Haliaeetus leucocephalus) found dead below its nest on Hirz Creek near Lake Shasta, California. Microscopic examinatio...

Charliat, G.; Jolly, D.; Blanchard, F., 1994: Genetic risk factor in primary open-angle glaucoma: a case-control study. To evaluate the link between primary open-angle glaucoma (POAG) and potential genetic and environmental risk factors. A case/control study was carried out using 175 POAG patients and 175 controls, all Caucasians of at least 40 years of age. The di...

Stagnone, J.J., 1989: Superficial peeling. Superficial peeling involves the topical use of mild exfoliating chemicals to rejuvenate actinically damaged facial skin and to treat acne, pigmentary disturbances, fine wrinkling, and superficial scarring. Some of the chemicals that can be used a...

Coto Hernàndez, Iàn.; Peres, C.; Cella Zanacchi, F.; d'Amora, M.; Christodoulou, S.; Bianchini, P.; Diaspro, A.; Vicidomini, G., 2015: A new filtering technique for removing anti-Stokes emission background in gated CW-STED microscopy. Stimulated emission depletion (STED) microscopy is a prominent approach of super-resolution optical microscopy, which allows cellular imaging with so far unprecedented unlimited spatial resolution. The introduction of time-gated detection in STED...

Ocak, S.; Zeteroglu, S.; Ozer, C.; Dolapcioglu, K.; Gungoren, A., 2007: Seroprevalence of Toxoplasma gondii, rubella and cytomegalovirus among pregnant women in southern Turkey. Primary infections caused by Toxoplasma gondii, rubella and cytomegalovirus (CMV) can lead to serious complications in pregnant women. The aim of this study was to determine the seroprevalence of Toxoplasma, rubella and CMV infections through ant...