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Planned elective repeat caesarean section versus planned vaginal birth for women with a previous caesarean birth

  1. Jodie M Dodd1,*,
  2. Caroline A Crowther2,3,
  3. Erasmo Huertas4,
  4. Jeanne-Marie Guise5,
  5. Dell Horey6

Editorial Group: Cochrane Pregnancy and Childbirth Group

Published Online: 10 DEC 2013

Assessed as up-to-date: 30 SEP 2013

DOI: 10.1002/14651858.CD004224.pub3


How to Cite

Dodd JM, Crowther CA, Huertas E, Guise JM, Horey D. Planned elective repeat caesarean section versus planned vaginal birth for women with a previous caesarean birth. Cochrane Database of Systematic Reviews 2013, Issue 12. Art. No.: CD004224. DOI: 10.1002/14651858.CD004224.pub3.

Author Information

  1. 1

    The University of Adelaide, School of Paediatrics and Reproductive Health, Discipline of Obstetrics and Gynaecology, Adelaide, South Australia, Australia

  2. 2

    The University of Auckland, Liggins Institute, Auckland, New Zealand

  3. 3

    The University of Adelaide, ARCH: Australian Research Centre for Health of Women and Babies, The Robinson Institute, Discipline of Obstetrics and Gynaecology, Adelaide, South Australia, Australia

  4. 4

    Materno Perinatal Institute of Lima-Peru, Adolescence Unit, Lima 01, Peru

  5. 5

    Oregon Health and Science University, Departments of Obstetrics and Gynecology, and Medical Informatics and Clinical Epidemiology, Portland, Oregon, USA

  6. 6

    La Trobe University, Faculty of Health Sciences, Bundoora, VIC, Australia

*Jodie M Dodd, School of Paediatrics and Reproductive Health, Discipline of Obstetrics and Gynaecology, The University of Adelaide, Women's and Children's Hospital, 72 King William Road, Adelaide, South Australia, 5006, Australia. jodie.dodd@adelaide.edu.au.

Publication History

  1. Publication Status: New search for studies and content updated (no change to conclusions)
  2. Published Online: 10 DEC 2013

SEARCH

[Figure 1]
Figure 1. Risk of bias graph: review authors' judgements about each risk of bias item presented as percentages across all included studies.
[Figure 2]
Figure 2. Risk of bias summary: review authors' judgements about each risk of bias item for each included study.
[Analysis 1.1]
Analysis 1.1. Comparison 1 Primary outcome, Outcome 1 Death or serious maternal morbidity.
[Analysis 1.2]
Analysis 1.2. Comparison 1 Primary outcome, Outcome 2 Death or serious infant morbidity.
[Analysis 2.1]
Analysis 2.1. Comparison 2 Secondary maternal outcomes, Outcome 1 Vaginal birth.
[Analysis 2.2]
Analysis 2.2. Comparison 2 Secondary maternal outcomes, Outcome 2 Caesarean section.
[Analysis 2.3]
Analysis 2.3. Comparison 2 Secondary maternal outcomes, Outcome 3 Uterine rupture.
[Analysis 2.4]
Analysis 2.4. Comparison 2 Secondary maternal outcomes, Outcome 4 Haemorrhage or need for blood transfusion.
[Analysis 2.5]
Analysis 2.5. Comparison 2 Secondary maternal outcomes, Outcome 5 Hysterectomy.
[Analysis 2.6]
Analysis 2.6. Comparison 2 Secondary maternal outcomes, Outcome 6 Vulval or perineal haematoma.
[Analysis 2.7]
Analysis 2.7. Comparison 2 Secondary maternal outcomes, Outcome 7 Deep vein thrombosis.
[Analysis 2.8]
Analysis 2.8. Comparison 2 Secondary maternal outcomes, Outcome 8 Pulmonary embolus.
[Analysis 2.9]
Analysis 2.9. Comparison 2 Secondary maternal outcomes, Outcome 9 Pneumonia.
[Analysis 2.10]
Analysis 2.10. Comparison 2 Secondary maternal outcomes, Outcome 10 Adult respiratory distress syndrome.
[Analysis 2.11]
Analysis 2.11. Comparison 2 Secondary maternal outcomes, Outcome 11 Wound Infection.
[Analysis 2.12]
Analysis 2.12. Comparison 2 Secondary maternal outcomes, Outcome 12 Wound dehiscence.
[Analysis 2.13]
Analysis 2.13. Comparison 2 Secondary maternal outcomes, Outcome 13 Organ damage.
[Analysis 2.14]
Analysis 2.14. Comparison 2 Secondary maternal outcomes, Outcome 14 Development of fistula.
[Analysis 2.15]
Analysis 2.15. Comparison 2 Secondary maternal outcomes, Outcome 15 Bowel obstruction.
[Analysis 2.16]
Analysis 2.16. Comparison 2 Secondary maternal outcomes, Outcome 16 Pulmonary oedema.
[Analysis 2.17]
Analysis 2.17. Comparison 2 Secondary maternal outcomes, Outcome 17 Stroke.
[Analysis 2.18]
Analysis 2.18. Comparison 2 Secondary maternal outcomes, Outcome 18 Cardiac arrest.
[Analysis 2.19]
Analysis 2.19. Comparison 2 Secondary maternal outcomes, Outcome 19 Respiratory arrest.
[Analysis 2.20]
Analysis 2.20. Comparison 2 Secondary maternal outcomes, Outcome 20 Maternal death.
[Analysis 3.1]
Analysis 3.1. Comparison 3 Secondary infant outcomes, Outcome 1 Perinatal death.
[Analysis 3.2]
Analysis 3.2. Comparison 3 Secondary infant outcomes, Outcome 2 Apgar score less than 7 at 5 minutes.
[Analysis 3.3]
Analysis 3.3. Comparison 3 Secondary infant outcomes, Outcome 3 Birthweight.
[Analysis 3.4]
Analysis 3.4. Comparison 3 Secondary infant outcomes, Outcome 4 Intensive care unit admission.
[Analysis 3.5]
Analysis 3.5. Comparison 3 Secondary infant outcomes, Outcome 5 Birth trauma.
[Analysis 3.6]
Analysis 3.6. Comparison 3 Secondary infant outcomes, Outcome 6 Seizures.
[Analysis 3.7]
Analysis 3.7. Comparison 3 Secondary infant outcomes, Outcome 7 Neonatal encephalopathy.
[Analysis 3.8]
Analysis 3.8. Comparison 3 Secondary infant outcomes, Outcome 8 Severe respiratory distress syndrome.
[Analysis 3.9]
Analysis 3.9. Comparison 3 Secondary infant outcomes, Outcome 9 Necrotising enterocolitis.
[Analysis 3.10]
Analysis 3.10. Comparison 3 Secondary infant outcomes, Outcome 10 Systemic infection.