Stage of labor at admission among Ugandan women with a prior cesarean, and its impact on management and delivery outcomes.

ABSTRACT:

Objective

To describe stage of labor at admission among women with a prior cesarean, and examine its impact on intrapartum management and delivery mode.

Methods

In a prospective cohort study, women admitted to Mbarara Regional Referral Hospital, Uganda, for delivery were enrolled between March and June 2015. Rates of vaginal delivery (VBAC) and in-hospital trial of labor (TOL) were compared between early (<4 cm dilation) and late (≥4 cm) presenters. Women were interviewed after delivery about decision making and labor preferences.

Results

Overall, 188 women comprised the study sample; 98 (52.1%) and 65 (34.6%) women presented at ≥4 cm and ≥6 cm, respectively, and 18 (9.6%) were fully dilated. In-hospital TOL and VBAC rates were 25.5% (42/165) and 9.6% (18/188), respec

SUBMITTER: Boatin AA 

PROVIDER: S-EPMC5627950 | biostudies-literature | 2017 Oct

REPOSITORIES: biostudies-literature