Abstract | OBJECTIVE: STUDY DESIGN: The Maternal-Fetal Medicine Unit cesarean registry data were used to identify nonanomalous singleton pregnancies with VBAC and NBPP at gestational age of ≥37 weeks (term) and 4 control subjects (matched for gestational age and diabetes mellitus status but without brachial injury). Odds ratio (OR) and 95% confidence intervals (CIs) were calculated. RESULTS: Among 11,313 VBACs at term, there were 23 women with NBPP (rate of 2.0/1000 women). Newborn infants with NBPP, compared with control infants, were significantly more likely to weigh ≥4000 g (48% vs 10%, respectively; OR, 8.45; 95% CI, 2.58-28.44) and to require admission to the neonatal intensive care unit (30% vs 13%; OR, 12.98; 95% CI, 2.61-72.18). CONCLUSION: Women who desire VBAC should be informed about the low rate of NBPP and, if eligible, encouraged to have a trial of labor after cesarean delivery.
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Authors | Ibrahim A Hammad, Suneet P Chauhan, Robert B Gherman, Joseph G Ouzounian, James B Hill, Alfred Z Abuhamad |
Journal | American journal of obstetrics and gynecology
(Am J Obstet Gynecol)
Vol. 208
Issue 3
Pg. 229.e1-5
(Mar 2013)
ISSN: 1097-6868 [Electronic] United States |
PMID | 23211545
(Publication Type: Journal Article)
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Copyright | Copyright © 2013 Mosby, Inc. All rights reserved. |
Topics |
- Adult
- Birth Injuries
(etiology)
- Brachial Plexus Neuropathies
(etiology)
- Case-Control Studies
- Female
- Gestational Age
- Humans
- Infant, Newborn
- Pregnancy
- Risk
- Trial of Labor
- Vaginal Birth after Cesarean
(adverse effects)
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