IJCP Editorial Team
Trial of Labor after Cesarean in Obese Patients Linked to Higher Maternal Risks
A large population-based study of 794,278 obese women with a prior cesarean delivery has found that those who attempted a trial of labor after cesarean (TOLAC) faced a higher rate of composite maternal adverse outcomes (CMAO) compared with those who underwent a planned repeat low transverse cesarean section (RLTCS). Of the total cohort, 126,809 attempted TOLAC and 667,469 had planned RLTCS. The risk of serious maternal complications—including ICU admission, uterine rupture, hysterectomy, or transfusion—was 9.0 per 1,000 births for TOLAC versus 5.3 per 1,000 for RLTCS (adjusted risk ratio 1.64; 95% CI, 1.53–1.75).
Although the absolute increase in risk was modest, the findings suggest that TOLAC in obese patients is associated with greater maternal morbidity. The authors emphasize the importance of individualized counseling and careful risk–benefit assessment when considering labor after cesarean in this population.
Reference: Jude G, Fain A, Raker C, et al. The association between trial of labor after cesarean in obese patients and adverse maternal outcomes. Arch Gynecol Obstet. 2024;309:2421–2426. doi:10.1007/s00404-023-07113-6
IJCP Editorial Team
Comprising seasoned professionals and experts from the medical field, the IJCP editorial team is dedicated to delivering timely and accurate content and thriving to provide attention-grabbing information for the readers. What sets them apart are their diverse expertise, spanning academia, research, and clinical practice, and their dedication to upholding the highest standards of quality and integrity. With a wealth of experience and a commitment to excellence, the IJCP editorial team strives to provide valuable perspectives, the latest trends, and in-depth analyses across various medical domains, all in a way that keeps you interested and engaged.
More FAQs by IJCP Editorial Team
Related FAQs
Medtalks is India's fastest growing Healthcare Learning and Patient Education Platform designed and developed to help doctors and other medical professionals to cater educational and training needs and to discover, discuss and learn the latest and best practices across 100+ medical specialties. Also find India Healthcare Latest Health News & Updates on the India Healthcare at Medtalks
Please login to comment on this article