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L-J van Bogaert

Publications and source records attributed to L-J van Bogaert.

3 recordsLinked to original sources
PubMed2004

Mode of delivery after one cesarean section.

OBJECTIVES: To investigate labor patterns and mode of delivery of aginal births after cesarean (VBAC) versus unsuccessful trial of labor after cesarean (TOLAC) in a South African district hospital, and the influence of the indication for the primary cesarean section (C-section) on the subsequent mode of delivery. METHODS: Retrospective audit of the partogram of 202 VBAC and 382 repeat C-section. There were 108 elective repeat cesarean deliveries (ERCD) and 274 emergency repeat C-sections after unsuccessful TOLAC. The indication of the primary C-section was known in 127: 43 (33.9%) VBAC and 84 (66.1%) repeat C-sections. RESULTS: The indication for the primary C-section in terms of recurrent/non-recurrent did not affect the subsequent mode of delivery (chi(2)=3.5; P=0.06; OR 0.49, 95% CI 0.23-1.04). The indication of the primary C-section in terms of dysfunctional/non-dysfunctional labor did not reoccur in the same parturients (chi(2)=0.01; P=0.91; OR 0.94, 95% CI 0.35-2.55). CONCLUSION: Dysfunctional labor accounted for most primary and repeat emergency C-sections, but not as a recurrent condition in the same parturients.

Adult↗
PubMed2004

The multigravid partogram--should it be customised?

Multigravid labour is conducted according to an alert line and an action line derived from primigravid spontaneous labour. Although it is widely recognised that multigravid labour is significantly faster than primigravid labour, the standard of care for both is the 'usual-care' partogram. A series of 1398 partograms of spontaneous multigravid labours resulting in vaginal delivery was audited. Retrospectively, the labours were graphed on a usual-care and on a customised partogram. The customised alert line was built to represent the rate of cervical dilataion of the lower 90 per cent. (after excluding the 10 per cent of very rapid labours.) The effect of putting the action line 2, 3 or 4 hours behind the alert line on the relative distribution of labours was tested. The results indicate that the norms of the usual-care partogram do not reflect the facts of multigravid labour.

Female↗