A large multicenter study of women attempting TOLAC (n = 33,699) also showed that augmentation or induction of labor was associated with an increased risk of uterine rupture when compared
with spontaneous labor (1.4 % for induction with prostaglandins with or without oxytocin, 1.1 % for oxytocin alone, 0.9 % for augmented labor, and 0.4 % for spontaneous labor).
In patients after 28 weeks of gestation with an intrauterine fetal demise and a prior cesarean scar, cervical ripening with a transcervical Foley catheter has been associated with uterine rupture rates comparable
with spontaneous labor (106, 114, 149, 150), and this may be a helpful adjunct in patients with an unfavorable cervical examination.
Moreover, when compared
with spontaneous labor, induced labor is associated with a lower likelihood of achieving VBAC (45, 48, 101, 106), and some evidence suggests that this is the case whether the cervix is favorable or unfavorable (although an unfavorable cervix further decreases the chance of success)(100, 107, 108).
An additional study of 1,014 women conducted by different authors demonstrated that using the same criteria in women
with spontaneous labor or induced labor would lead to a significantly higher proportion of women achieving vaginal delivery with no increase in neonatal complications (24).
Labor induction has been increasing since the early 1990s, 1 and the rate is running at about 20 % for pregnancies at term.2, 3 Induction of labor compared
with spontaneous labor is associated with adverse maternal outcomes, including at least a doubling in the caesarean delivery rate, 4,5 25 — 50 % increase in instrumental vaginal delivery rate, 3,5 higher postpartum hemorrhage rate, 5 and prolonged labor.5 Neonates born after induced labor are more likely to have low Apgar score and low umbilical cord blood pH. 5
Not exact matches
As the others have stated, MANA clearly stated these babies were alive at the onset of
spontaneous labor (or maybe induced
with «herbal therapies» at home like black and blue cohosh, EPO, sex, rebozo scarf, sweeping membranes).
«You were not trained to attend normal, natural, low risk,
spontaneous births... -LSB-...]... You were not taught to give
laboring women massage, to walk the halls
with them, to whisper positive, empowering affirmations in their ears, to help them change position, to catch a baby
with mom in a squat or on all 4's!»
Comparison of a novel test for placental alpha microglobulin - 1
with fetal fibronectin and cervical length measurement for the prediction of imminent
spontaneous preterm delivery in patients
with threatened preterm
labor
Two retrospective cohort studies demonstrated no increase in the risk of uterine rupture (101, 113), whereas another retrospective cohort study reported an increase compared
with women in
spontaneous labor (114).
Similarly, there is consistent evidence that women who undergo
labor induction or augmentation are less likely to achieve VBAC than women
with fetuses of the same gestational age in
spontaneous labor without augmentation (45 — 48).
We have little ability to quantify maternal risks of uterine rupture and other maternal morbidities when a women
with three or more prior cesareans desires
spontaneous labor.
We just don't have data here to quantify the maternal risks of uterine rupture or other maternal morbidities when women
with three or more prior cesareans desire
spontaneous labor.
Material alignment, a new body of black - and - white grid paintings, can likewise be seen to present a visual analogy of the artist's working methods
with their oscillation between
labor - intensive production and
spontaneous improvisation.