Risk indicators for obstetrical anal sphincter injury in vaginal birth after caesarean section compared to first vaginal delivery

CONCLUSIONS: Women with a VBAC have a higher rate of OASI in comparison with women with a first vaginal delivery, with the exception of women with a vaginal birth after an emergency CS for suspected fetal distress. Factors associated with a significantly lower rate for OASI were MLE, maternal age < 25 and birth weight < 3000 g. A gestational age of 42 weeks, birth weight between 3500 and 4000 g and ≥ 4000 g, operative vaginal delivery and duration of the 2nd stage of delivery longer dan 60 min were associated with a significantly higher rate of OASI.PMID:37572448 | DOI:10.1016/j.ejogrb.2023.07.019

Source: Reproductive Biology - August 12, 2023 Category: Reproduction Medicine Authors: J van Bavel A C J Ravelli J P W R Roovers A Abu-Hanna B W Mol J W de Leeuw Source Type: research