The Association between Hospital Frequency of Labor after Cesarean and Outcomes in California.

ABSTRACT:

Background

Labor after cesarean (LAC) is an alternative to planned repeat cesarean delivery. The effect of hospital-level factors on LAC frequency and vaginal birth after cesarean (VBAC) has been relatively understudied. It was our goal to determine if hospital frequency of LAC (number of women undergoing LAC/number of women with previous uterine scars) is associated with increased VBAC and associated outcomes among women undergoing LAC.

Methods

We analyzed 43,331 term, singleton births to women who experienced LAC in California from 2007 to 2010. We conducted multivariable logistic regressions of infant and maternal outcomes for women at hospitals with high LAC frequency (≥median) compared with low LAC frequency (

SUBMITTER: Dissanayake MV 

PROVIDER: S-EPMC7704773 | biostudies-literature | 2020 Nov - Dec

REPOSITORIES: biostudies-literature