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CC BY-NC-ND 4.0 · AJP Rep 2020; 10(01): e37-e41
DOI: 10.1055/s-0040-1702924
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Is Early Amniotomy Associated with Higher Likelihood of Vaginal Birth after Cesarean?

Megan S. Varvoutis
1   Division of Maternal Fetal Medicine, Department of OBGYN, Duke University, Durham, North Carolina
,
Lauren C. Sayres
1   Division of Maternal Fetal Medicine, Department of OBGYN, Duke University, Durham, North Carolina
,
Sarah K. Dotters-Katz
1   Division of Maternal Fetal Medicine, Department of OBGYN, Duke University, Durham, North Carolina
› Author Affiliations Funding None.
Further Information

Publication History

30 April 2019

10 November 2019

Publication Date:
04 March 2020 (online)

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Abstract

Objective The study aims to reduce cesarean rates, eligible women are being offered an option of vaginal birth after cesarean (VBAC). However, little data exist regarding efficacy of amniotomy as a tool in this population. We sought to evaluate the impact of early amniotomy on VBAC success.

Study Design This is a secondary analysis case-control study using the MFMU (Maternal-Fetal Medicine Units Network) Cesarean Registry. Women were included if they had a singleton pregnancy, were attempting VBAC, and underwent induction with artificial rupture of membranes. Cases were defined as subjects with successful VBAC; controls were defined as subjects with failed trial of labor after cesarean (TOLAC). Early amniotomy was defined as amniotomy at <4 cm. Demographic and obstetric characteristics were compared and multivariate logistic regression was performed.

Results A total of 1,490 women were included. Early amniotomy occurred in 59.5% with VBAC versus 63.2% with failed TOLAC (p = 0.24). After controlling for body mass index, prior vaginal delivery, African–American race, labor length, gestational age, birthweight, epidural use, Foley catheter balloon ripening, induction method and oxytocin use, early amniotomy was associated with a 34% decrease in VBAC success (p < 0.01). Women who had early amniotomy did not have higher rates of chorioamnionitis (2.8 vs. 2.9%, p > 0.99).

Conclusion Unlike data from nulliparous women, our data suggest that induction with early amniotomy does not increase the likelihood of VBAC.

Keywords

induction - amniotomy - TOLAC - vaginal birth after cesarean
 

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