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Table 2 Characteristics of secundiparas undergoing TOLAC following a failed-VE, stratified by a successful VBAC

From: Secundiparas following a failed vacuum delivery—factors associated with a successful vaginal delivery: a historical prospective cohort

 

VBAC

n = 62

Failed

TOLAC

n = 27

P value

Factors at P1 (CD due to failed VE)

 gestation at delivery (mean ± std)

40 ± 1.3

40 ± 1.7

0.48

 indication for VE prolonged 2nd stage N (%)

21 (55%)

11 (58%)

0.85

 persistent occiput posterior N (%)

6 (16%)

2 (10%)

0.70

 birthweight of new-born (mean ± std)

3429 g ± 340 g

3320 g ± 407 g

0.20

 macrosomia (> 4000 g) N (%)

4 (7%)

0 (0%)

0.31

 delivered elsewhere N (%)

25 (40%)

7 (26%)

0.23

Factors at P2 (TOLAC)

 maternal age (mean ± std)

27.4 ± 3.9

27.3 ± 3.5

0.92

 artificial reproductive treatment N (%)

0

0

 

 interpregnancy interval (months) (mean ± std)

27.6 ± 9.1

32.3 ± 12.3

0.10

 gestational hypertension

0

0

 

 gestational diabetes N (%)

1 (1.6%)

2 (7.4%)

0.22

 gestation at delivery (mean ± std)

39 ± 1.4

38 ± 2.7

0.21

 preterm delivery < 37 weeks N (%)

2 (3.2%)

3 (11.1%)

0.16

 induction of labour N (%)

4 (6.5%)

1 (3.7)

1.0

 augmentation with oxytocin N (%)

42 (68%)

16 (59%)

0.30

 thick meconium N (%)

5 (8.2%)

0 (0%)

0.57

 new-born—male N (%)

27 (44%)

17 (63%)

0.09

 persistent occiput posterior N (%)

1 (1.6%)

2 (7.4%)

0.12

 macrosomia (> 4000 g)

2 (3.2%)

2 (7.4%)

0.59

 birthweight of new-born (mean ± std)

3247 g ± 352 g

3421 g ± 650 g

0.11

 delta birthweight of new-born (mean ± std)

-195 g ± 396 g

197 g ± 454 g

 < 0.01

 delta birthweight of new-born > 500 g (P2 > P1)

3 (5%)

9 (35%)

 < 0.01

 delta birthweight of new-born > 400 g (P2 > P1)

3 (5%)

10 (39%)

 < 0.01

 delta birthweight of new-born > 300 g (P2 > P1)

7 (12%)

10 (39%)

 < 0.01

 delta birthweight of new-born > 500 g (P1 > P2)

16 (27.6%)

2 (7.7%)

0.04

 delta birthweight of new-born > 400 g (P1 > P2)

21 (36.2%)

3 (11.5%)

0.03

 delta birthweight of new-born > 300 g (P1 > P2)

24 (41.4%)

4 (15.4%)

0.02

 head circumference cm (mean ± std)a

35.0 ± 1.3

34.4 ± 2.6

0.29

 delta circumference mm P1 minus P2 (mean ± std) a

3.4 ± 19.5

-2.9 ± 14.8

0.25

 head circumference P2 > P1 by at least 10 mm

10 (28.6%)

8 (44.4%)

0.36

  1. VE Vacuum Extraction, VBAC Vaginal birth after caesarean, TOLAC Trial of labour after caesarean
  2. adata available for 53 women