Success of trial of labor in women with a history of previous cesarean section for failed labor induction or labor dystocia: a retrospective cohort study

Table 3 Delivery outcomes in the subgroups of women with a history of labor dystocia in the first stage of labor, labor dystocia in the second stage of labor and failed labor induction (n = 660)

	Labor arrest in the 1st stage		Labor arrest in the 2nd stage		Failed labor induction
	n = 508	%	n = 52	%	n = 100	%	p
IOL in current pregnancy	127	25.0	22	42.3	77	77	< 0.001
Mode of delivery
Spontaneous vaginal delivery	318	62.6	30	57.7	42	42	0.001
Operative vaginal delivery	66	13.0	8	15.4	17	17	0.54
Cesarean section	124	24.4	14	26.9	41	41	0.003
Cesarean section indication
Labor arrest in the 1st stage	49	9.6	5	9.6	8	8	0.07
Labor arrest in the 2nd stage	24	4.7	4	7.7	1	1	0.007
Failed labor induction	8	1.6	0	0	18	18	< 0.001
Fetal distress	37	7.3	2	3.8	9	9	0.33
Other	6¹	1.2	3²	5.8	5³	5	0.04
Postpartum hemorrhage ≥1000 ml	89	17.5	15	28.8	22	22	0.1
Intrapartum infection	11	2.2	2	3.8	6	6	0.07
Postpartum infection	10	2.0	0	0	6	6	0.04
Blood culture positive septicemia	1	0.2	0	0	0	0	1
Uterine rupture	3	0.6	0	0	1	1.0	0.65
Birthweight ≥4500 g	21	4.1	2	3.8	6	6	0.62
Adverse neonatal primary outcome	39	7.7	1	1.9	9	9	0.27

¹ suspicion of uterine rupture/dehiscence n = 1, intrapartum infection n = 2, maternal request for fear of labor n = 2, fetal malpresentation n = 1
² intrapartum infection n = 2, maternal request for fear of labor n = 1
³ intrapartum infection n = 3, maternal request for fear of labor n = 1, preeclampsia n = 1

ISSN: 1471-2393