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Other common AMI include malpresentation or two or more previous caesarean sections.
Women who had had one or more previous caesarean sections were almost 80% (aOR 1.79; 95% CI 1.53 to 2.10) more likely to be a case (table 3).
This heterogenous group includes women with differing onsets of labour [ 10, 14– 17], women with and without a previous vaginal delivery and women with one or more previous caesarean sections [ 14, 15, 18, 19].
Women with two or more previous caesarean deliveries, a classical uterine incision, a history of multiple pregnancies, breech presentation, severe preeclampsia, transverse lie, placenta praevia or suspected macrosomia were excluded.
Women with a planned caesarean section tended to be older, private patients, have more medical and obstetric conditions and two or more previous caesarean sections than women with a trial of labour.
Among women with a trial of labour for a planned vaginal birth, those who had intrapartum caesarean sections were more likely to be private patients, have two or more previous caesarean sections and have not previously experienced labour or vaginal birth before their first caesarean or a successful vaginal birth after caesarean compared to women with vaginal birth (Table 1).
Similar(54)
There were 246 women with a history of more than one previous caesarean section: 187 (76%) delivered by elective repeat caesarean section (ERCS); 59 (24%) had a trial of labour, of whom 49 (83%) had a vaginal birth.
Study design: Retrospective analysis of medical records of women with a history of more than one previous caesarean section who gave birth during a 10-year period (1988 1997) in two large university hospitals in The Netherlands.
They have had more than one previous caesarean section.
According to Tanzanian national guidelines and expert opinion, more than two previous Caesarean Section were also included.
Two women had more than one previous caesarean, one woman having four previous caesareans and one woman having two previous caesareans.
Related(20)
more prior caesarean
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