Evidence map›Paper›PMID 34972660›Full record

Observational studyWomen and birth : journal of the Australian College of Midwives2022

Vaginal birth after caesarean section before and during COVID-19 pandemic. Factors associated with successful vaginal birth.

P Hidalgo-Lopezosa, A M Cubero-Luna, J Huertas-Marín, M Hidalgo-Maestre, A J De la Torre-González, M A Rodríguez-Borrego, P J López-Soto

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Women and birth : journal of the Australian College of Midwives, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

P Hidalgo-LopezosaMaimónides Institut of Biomedic Research of Córdoba (IMIBIC), Avda. Menéndez Pidal s/n, 14004 Córdoba, Spain; Department of Nursing, Farmacology and Physiotherapy, University of Córdoba, Avda. Menéndez Pidal s/n, 14004 Córdoba, Spain; University Hospital Reina Sofia, Avda. Menéndez Pidal s/n, 14004 Córdoba, Spain. Electronic address: phlopezosa@uco.es.
A M Cubero-LunaMaimónides Institut of Biomedic Research of Córdoba (IMIBIC), Avda. Menéndez Pidal s/n, 14004 Córdoba, Spain; Department of Nursing, Farmacology and Physiotherapy, University of Córdoba, Avda. Menéndez Pidal s/n, 14004 Córdoba, Spain; University Hospital Reina Sofia, Avda. Menéndez Pidal s/n, 14004 Córdoba, Spain. Electronic address: z92culua@uco.es.
J Huertas-MarínMaimónides Institut of Biomedic Research of Córdoba (IMIBIC), Avda. Menéndez Pidal s/n, 14004 Córdoba, Spain; Department of Nursing, Farmacology and Physiotherapy, University of Córdoba, Avda. Menéndez Pidal s/n, 14004 Córdoba, Spain; University Hospital Reina Sofia, Avda. Menéndez Pidal s/n, 14004 Córdoba, Spain. Electronic address: n22humaj@uco.es.
M Hidalgo-MaestreDepartment of Nursing, Farmacology and Physiotherapy, University of Córdoba, Avda. Menéndez Pidal s/n, 14004 Córdoba, Spain; University Hospital Reina Sofia, Avda. Menéndez Pidal s/n, 14004 Córdoba, Spain. Electronic address: n12himam@uco.es.
A J De la Torre-GonzálezDepartment of Nursing, Farmacology and Physiotherapy, University of Córdoba, Avda. Menéndez Pidal s/n, 14004 Córdoba, Spain; University Hospital Reina Sofia, Avda. Menéndez Pidal s/n, 14004 Córdoba, Spain. Electronic address: ajesus.torre.sspa@juntadeandalucia.es.
M A Rodríguez-BorregoMaimónides Institut of Biomedic Research of Córdoba (IMIBIC), Avda. Menéndez Pidal s/n, 14004 Córdoba, Spain; Department of Nursing, Farmacology and Physiotherapy, University of Córdoba, Avda. Menéndez Pidal s/n, 14004 Córdoba, Spain; University Hospital Reina Sofia, Avda. Menéndez Pidal s/n, 14004 Córdoba, Spain. Electronic address: en1robom@uco.es.
P J López-SotoMaimónides Institut of Biomedic Research of Córdoba (IMIBIC), Avda. Menéndez Pidal s/n, 14004 Córdoba, Spain; Department of Nursing, Farmacology and Physiotherapy, University of Córdoba, Avda. Menéndez Pidal s/n, 14004 Córdoba, Spain; University Hospital Reina Sofia, Avda. Menéndez Pidal s/n, 14004 Córdoba, Spain. Electronic address: n82losop@uco.es.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe ratio of caesarean has been increasing considerably in many countries. Planning a vaginal birth after a previous caesarean is considered an important option for women in a subsequent pregnancy.

aimsTo analyse obstetric and neonatal outcomes in women in labour after caesarean section before and during the COVID-19 pandemic, and to determine factors associated with successful vaginal birth after caesarean (VBAC).

methodsObservational cohort study of women in labour with history of caesarean section who gave birth between March 2019 and December 2020 in a tertiary hospital in southern Spain. Consecutive sampling was performed using the maternal birth database and a descriptive and inferential analysis of the study variables was carried out. Socio-demographic, obstetric and neonatal variables were compared between the pre-pandemic and pandemic periods. Multiple logistic regression analysis was performed to determine variables associated with VBAC success.

findingsThe VBAC success rate was 67.4%. The caesarean section rate was significantly higher during the COVID-19 pandemic period. Factors associated with VBAC success were: birth before the pandemic (OR 0.32) and at night (OR 0.45), use of epidural analgesia (OR 2.14), and having had a previous vaginal birth (OR 1.98).

conclusionsThe success rate of VBAC was lower during the pandemic. Knowledge of the factors related to VBAC success is critical for practitioners when supporting women in decision-making about mode of birth after a previous caesarean section.

Indexed as

COVID-19Vaginal Birth after CesareanCesarean SectionFemaleHumansInfant, NewbornPandemicsParturitionPregnancyBirthCaesarean sectionCOVID-19Vaginal birth after caesarean

Identifiers

PMID34972660
PMCPMC8702403

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.