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Cochrane Database of Systematic Reviews

Cesárea repetida electiva planificada versus parto vaginal planificado en pacientes con un parto anterior por cesárea

Información

DOI:
https://doi.org/10.1002/14651858.CD004224.pub3Copiar DOI
Base de datos:
  1. Cochrane Database of Systematic Reviews
Versión publicada:
  1. 10 diciembre 2013see what's new
Tipo:
  1. Intervention
Etapa:
  1. Review
Grupo Editorial Cochrane:
  1. Grupo Cochrane de Embarazo y parto

Copyright:
  1. Copyright © 2013 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.

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Contraer

Autores

  • Jodie M Dodd

    Correspondencia a: School of Paediatrics and Reproductive Health, Discipline of Obstetrics and Gynaecology, The University of Adelaide, Adelaide, Australia

    [email protected]

  • Caroline A Crowther

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

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

  • Erasmo Huertas

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

  • Jeanne‐Marie Guise

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

  • Dell Horey

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

Contributions of authors

Jodie Dodd and Caroline Crowther were involved in the drafting of the review, assessment of trials and data extraction. All authors contributed equally to the subsequent revisions of the review.

Sources of support

Internal sources

  • The University of Adelaide, Department of Obstetrics and Gynaecology, Australia.

External sources

  • No sources of support supplied

Declarations of interest

Jodie Dodd and Caroline Crowther are the authors of one of the reports included in this review. This study report was assessed by the other authors.

Acknowledgements

The National Institute for Health Research (NIHR) is the largest single funder of the Cochrane Pregnancy and Childbirth Group. The views and opinions expressed therein are those of the authors and do not necessarily reflect those of the NIHR, NHS or the Department of Health.

Version history

Published

Title

Stage

Authors

Version

2013 Dec 10

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

Review

Jodie M Dodd, Caroline A Crowther, Erasmo Huertas, Jeanne‐Marie Guise, Dell Horey

https://doi.org/10.1002/14651858.CD004224.pub3

2004 Oct 18

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

Review

Jodie M Dodd, Caroline A Crowther, Erasmo Huertas, Jeanne‐Marie Guise, Dell Horey

https://doi.org/10.1002/14651858.CD004224.pub2

2003 Apr 22

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

Protocol

Jodie M Dodd, Caroline A Crowther, Erasmo Huertas

https://doi.org/10.1002/14651858.CD004224

Differences between protocol and review

Methods updated to current Pregnancy and Childbirth Group standards (2013).

Keywords

MeSH

PICO

Population
Intervention
Comparison
Outcome

El uso y la enseñanza del modelo PICO están muy extendidos en el ámbito de la atención sanitaria basada en la evidencia para formular preguntas y estrategias de búsqueda y para caracterizar estudios o metanálisis clínicos. PICO son las siglas en inglés de cuatro posibles componentes de una pregunta de investigación: paciente, población o problema; intervención; comparación; desenlace (outcome).

Para saber más sobre el uso del modelo PICO, puede consultar el Manual Cochrane.

Risk of bias graph: review authors' judgements about each risk of bias item presented as percentages across all included studies.
Figuras y tablas -
Figure 1

Risk of bias graph: review authors' judgements about each risk of bias item presented as percentages across all included studies.

Risk of bias summary: review authors' judgements about each risk of bias item for each included study.
Figuras y tablas -
Figure 2

Risk of bias summary: review authors' judgements about each risk of bias item for each included study.

Comparison 1 Primary outcome, Outcome 1 Death or serious maternal morbidity.
Figuras y tablas -
Analysis 1.1

Comparison 1 Primary outcome, Outcome 1 Death or serious maternal morbidity.

Comparison 1 Primary outcome, Outcome 2 Death or serious infant morbidity.
Figuras y tablas -
Analysis 1.2

Comparison 1 Primary outcome, Outcome 2 Death or serious infant morbidity.

Comparison 2 Secondary maternal outcomes, Outcome 1 Vaginal birth.
Figuras y tablas -
Analysis 2.1

Comparison 2 Secondary maternal outcomes, Outcome 1 Vaginal birth.

Comparison 2 Secondary maternal outcomes, Outcome 2 Caesarean section.
Figuras y tablas -
Analysis 2.2

Comparison 2 Secondary maternal outcomes, Outcome 2 Caesarean section.

Comparison 2 Secondary maternal outcomes, Outcome 3 Uterine rupture.
Figuras y tablas -
Analysis 2.3

Comparison 2 Secondary maternal outcomes, Outcome 3 Uterine rupture.

Comparison 2 Secondary maternal outcomes, Outcome 4 Haemorrhage or need for blood transfusion.
Figuras y tablas -
Analysis 2.4

Comparison 2 Secondary maternal outcomes, Outcome 4 Haemorrhage or need for blood transfusion.

Comparison 2 Secondary maternal outcomes, Outcome 5 Hysterectomy.
Figuras y tablas -
Analysis 2.5

Comparison 2 Secondary maternal outcomes, Outcome 5 Hysterectomy.

Comparison 2 Secondary maternal outcomes, Outcome 6 Vulval or perineal haematoma.
Figuras y tablas -
Analysis 2.6

Comparison 2 Secondary maternal outcomes, Outcome 6 Vulval or perineal haematoma.

Comparison 2 Secondary maternal outcomes, Outcome 7 Deep vein thrombosis.
Figuras y tablas -
Analysis 2.7

Comparison 2 Secondary maternal outcomes, Outcome 7 Deep vein thrombosis.

Comparison 2 Secondary maternal outcomes, Outcome 8 Pulmonary embolus.
Figuras y tablas -
Analysis 2.8

Comparison 2 Secondary maternal outcomes, Outcome 8 Pulmonary embolus.

Comparison 2 Secondary maternal outcomes, Outcome 9 Pneumonia.
Figuras y tablas -
Analysis 2.9

Comparison 2 Secondary maternal outcomes, Outcome 9 Pneumonia.

Comparison 2 Secondary maternal outcomes, Outcome 10 Adult respiratory distress syndrome.
Figuras y tablas -
Analysis 2.10

Comparison 2 Secondary maternal outcomes, Outcome 10 Adult respiratory distress syndrome.

Comparison 2 Secondary maternal outcomes, Outcome 11 Wound Infection.
Figuras y tablas -
Analysis 2.11

Comparison 2 Secondary maternal outcomes, Outcome 11 Wound Infection.

Comparison 2 Secondary maternal outcomes, Outcome 12 Wound dehiscence.
Figuras y tablas -
Analysis 2.12

Comparison 2 Secondary maternal outcomes, Outcome 12 Wound dehiscence.

Comparison 2 Secondary maternal outcomes, Outcome 13 Organ damage.
Figuras y tablas -
Analysis 2.13

Comparison 2 Secondary maternal outcomes, Outcome 13 Organ damage.

Comparison 2 Secondary maternal outcomes, Outcome 14 Development of fistula.
Figuras y tablas -
Analysis 2.14

Comparison 2 Secondary maternal outcomes, Outcome 14 Development of fistula.

Comparison 2 Secondary maternal outcomes, Outcome 15 Bowel obstruction.
Figuras y tablas -
Analysis 2.15

Comparison 2 Secondary maternal outcomes, Outcome 15 Bowel obstruction.

Comparison 2 Secondary maternal outcomes, Outcome 16 Pulmonary oedema.
Figuras y tablas -
Analysis 2.16

Comparison 2 Secondary maternal outcomes, Outcome 16 Pulmonary oedema.

Comparison 2 Secondary maternal outcomes, Outcome 17 Stroke.
Figuras y tablas -
Analysis 2.17

Comparison 2 Secondary maternal outcomes, Outcome 17 Stroke.

Comparison 2 Secondary maternal outcomes, Outcome 18 Cardiac arrest.
Figuras y tablas -
Analysis 2.18

Comparison 2 Secondary maternal outcomes, Outcome 18 Cardiac arrest.

Comparison 2 Secondary maternal outcomes, Outcome 19 Respiratory arrest.
Figuras y tablas -
Analysis 2.19

Comparison 2 Secondary maternal outcomes, Outcome 19 Respiratory arrest.

Comparison 2 Secondary maternal outcomes, Outcome 20 Maternal death.
Figuras y tablas -
Analysis 2.20

Comparison 2 Secondary maternal outcomes, Outcome 20 Maternal death.

Comparison 3 Secondary infant outcomes, Outcome 1 Perinatal death.
Figuras y tablas -
Analysis 3.1

Comparison 3 Secondary infant outcomes, Outcome 1 Perinatal death.

Comparison 3 Secondary infant outcomes, Outcome 2 Apgar score less than 7 at 5 minutes.
Figuras y tablas -
Analysis 3.2

Comparison 3 Secondary infant outcomes, Outcome 2 Apgar score less than 7 at 5 minutes.

Comparison 3 Secondary infant outcomes, Outcome 3 Birthweight.
Figuras y tablas -
Analysis 3.3

Comparison 3 Secondary infant outcomes, Outcome 3 Birthweight.

Comparison 3 Secondary infant outcomes, Outcome 4 Intensive care unit admission.
Figuras y tablas -
Analysis 3.4

Comparison 3 Secondary infant outcomes, Outcome 4 Intensive care unit admission.

Comparison 3 Secondary infant outcomes, Outcome 5 Birth trauma.
Figuras y tablas -
Analysis 3.5

Comparison 3 Secondary infant outcomes, Outcome 5 Birth trauma.

Comparison 3 Secondary infant outcomes, Outcome 6 Seizures.
Figuras y tablas -
Analysis 3.6

Comparison 3 Secondary infant outcomes, Outcome 6 Seizures.

Comparison 3 Secondary infant outcomes, Outcome 7 Neonatal encephalopathy.
Figuras y tablas -
Analysis 3.7

Comparison 3 Secondary infant outcomes, Outcome 7 Neonatal encephalopathy.

Comparison 3 Secondary infant outcomes, Outcome 8 Severe respiratory distress syndrome.
Figuras y tablas -
Analysis 3.8

Comparison 3 Secondary infant outcomes, Outcome 8 Severe respiratory distress syndrome.

Comparison 3 Secondary infant outcomes, Outcome 9 Necrotising enterocolitis.
Figuras y tablas -
Analysis 3.9

Comparison 3 Secondary infant outcomes, Outcome 9 Necrotising enterocolitis.

Comparison 3 Secondary infant outcomes, Outcome 10 Systemic infection.
Figuras y tablas -
Analysis 3.10

Comparison 3 Secondary infant outcomes, Outcome 10 Systemic infection.

Comparison 1. Primary outcome

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Death or serious maternal morbidity Show forest plot

1

22

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

2 Death or serious infant morbidity Show forest plot

1

22

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

Figuras y tablas -
Comparison 1. Primary outcome
Comparison 2. Secondary maternal outcomes

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Vaginal birth Show forest plot

1

22

Risk Ratio (M‐H, Fixed, 95% CI)

0.34 [0.09, 1.29]

2 Caesarean section Show forest plot

1

22

Risk Ratio (M‐H, Fixed, 95% CI)

1.92 [0.92, 4.01]

3 Uterine rupture Show forest plot

1

22

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4 Haemorrhage or need for blood transfusion Show forest plot

1

22

Risk Ratio (M‐H, Fixed, 95% CI)

1.2 [0.20, 7.05]

5 Hysterectomy Show forest plot

1

22

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

6 Vulval or perineal haematoma Show forest plot

1

22

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

7 Deep vein thrombosis Show forest plot

1

22

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

8 Pulmonary embolus Show forest plot

1

22

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

9 Pneumonia Show forest plot

1

22

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

10 Adult respiratory distress syndrome Show forest plot

1

22

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

11 Wound Infection Show forest plot

1

22

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

12 Wound dehiscence Show forest plot

1

22

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

13 Organ damage Show forest plot

1

22

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

14 Development of fistula Show forest plot

1

22

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

15 Bowel obstruction Show forest plot

1

22

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

16 Pulmonary oedema Show forest plot

1

22

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

17 Stroke Show forest plot

1

22

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

18 Cardiac arrest Show forest plot

1

22

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

19 Respiratory arrest Show forest plot

1

22

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

20 Maternal death Show forest plot

1

22

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

Figuras y tablas -
Comparison 2. Secondary maternal outcomes
Comparison 3. Secondary infant outcomes

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Perinatal death Show forest plot

1

22

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

2 Apgar score less than 7 at 5 minutes Show forest plot

1

22

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3 Birthweight Show forest plot

1

22

Mean Difference (IV, Fixed, 95% CI)

‐133.0 [‐513.12, 247.12]

4 Intensive care unit admission Show forest plot

1

22

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

5 Birth trauma Show forest plot

1

22

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

6 Seizures Show forest plot

1

22

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

7 Neonatal encephalopathy Show forest plot

1

22

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

8 Severe respiratory distress syndrome Show forest plot

1

22

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

9 Necrotising enterocolitis Show forest plot

1

22

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

10 Systemic infection Show forest plot

1

22

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

Figuras y tablas -
Comparison 3. Secondary infant outcomes