Examination of the association of physical activity during pregnancy after cesarean delivery and vaginal birth among Chinese women

Background The goal was to study whether higher physical activity can increase the success rate of Vaginal Birth after Cesarean Delivery (VBAC). Methods We enrolled 823 patients with previous cesarean section delivery history (between January 2015 and December 2017) and measured their physical activ...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Qi, Xin-Ying [verfasserIn] Xing, Yan-Ping Wang, Xue-Zhen Yang, Feng-Zhen

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2018

Schlagwörter:	Vaginal birth after cesarean delivery Trial of labor after cesarean delivery Physical activity Exercise

Anmerkung:	© The Author(s). 2018

Übergeordnetes Werk:	Enthalten in: Reproductive health - London : BioMed Central, 2004, 15(2018), 1 vom: 24. Mai
Übergeordnetes Werk:	volume:15 ; year:2018 ; number:1 ; day:24 ; month:05

Links:	Volltext

DOI / URN:	10.1186/s12978-018-0544-1

Katalog-ID:	SPR029192137

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520			\|a Background The goal was to study whether higher physical activity can increase the success rate of Vaginal Birth after Cesarean Delivery (VBAC). Methods We enrolled 823 patients with previous cesarean section delivery history (between January 2015 and December 2017) and measured their physical activity during pregnancy. A final number of 519 patients were included for the trial of labor after cesarean delivery (TOLAC). All patients signed informed consent forms. Results We conducted bivariate analyses and identified that several variables were associated with successful VBAC: Prior history of vaginal birth (odds ratio [OR] 2.4, 95% CI 1.8–3.9); previous indication for primary cesarean delivery (OR 2.2, 95% CI 1.5–3.0); age younger than 40 years (OR 2.1, 95% CI 1.3–3.4); Weight gain less than 20 kg (OR 1.5, 95% CI 1.3–2.4); high pelvic/birth weight score (OR 1.4, 95% CI 1.1–2.0); no induction of labor (OR 1.9, 95% CI 1.4–2.8); and estimated prenatal fetal weight (OR 1.4, 95% CI 1.2–1.5). We also found that the bivariate association between physical activity and VBAC was significant (p = 0.002). In addition, there was higher odds of VBAC in women who had active physical activity of more than 150 min/week (adjusted OR 1.86, 95% CI 1.69–2.07). Lower odds of VBAC was associated with older age, weight gain during pregnancy, induction of labor, and having estimated prenatal fetal weight more than 3500 g. Conclusion Physical activity during pregnancy may influence the success rate of VBAC in Chinese women. Future studies will be needed to prove the robustness of this association using more detailed exposure and outcome definitions.
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allfields	10.1186/s12978-018-0544-1 doi (DE-627)SPR029192137 (SPR)s12978-018-0544-1-e DE-627 ger DE-627 rakwb eng Qi, Xin-Ying verfasserin (orcid)0000-0002-8381-6288 aut Examination of the association of physical activity during pregnancy after cesarean delivery and vaginal birth among Chinese women 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2018 Background The goal was to study whether higher physical activity can increase the success rate of Vaginal Birth after Cesarean Delivery (VBAC). Methods We enrolled 823 patients with previous cesarean section delivery history (between January 2015 and December 2017) and measured their physical activity during pregnancy. A final number of 519 patients were included for the trial of labor after cesarean delivery (TOLAC). All patients signed informed consent forms. Results We conducted bivariate analyses and identified that several variables were associated with successful VBAC: Prior history of vaginal birth (odds ratio [OR] 2.4, 95% CI 1.8–3.9); previous indication for primary cesarean delivery (OR 2.2, 95% CI 1.5–3.0); age younger than 40 years (OR 2.1, 95% CI 1.3–3.4); Weight gain less than 20 kg (OR 1.5, 95% CI 1.3–2.4); high pelvic/birth weight score (OR 1.4, 95% CI 1.1–2.0); no induction of labor (OR 1.9, 95% CI 1.4–2.8); and estimated prenatal fetal weight (OR 1.4, 95% CI 1.2–1.5). We also found that the bivariate association between physical activity and VBAC was significant (p = 0.002). In addition, there was higher odds of VBAC in women who had active physical activity of more than 150 min/week (adjusted OR 1.86, 95% CI 1.69–2.07). Lower odds of VBAC was associated with older age, weight gain during pregnancy, induction of labor, and having estimated prenatal fetal weight more than 3500 g. Conclusion Physical activity during pregnancy may influence the success rate of VBAC in Chinese women. Future studies will be needed to prove the robustness of this association using more detailed exposure and outcome definitions. Vaginal birth after cesarean delivery (dpeaa)DE-He213 Trial of labor after cesarean delivery (dpeaa)DE-He213 Physical activity (dpeaa)DE-He213 Exercise (dpeaa)DE-He213 Xing, Yan-Ping aut Wang, Xue-Zhen aut Yang, Feng-Zhen aut Enthalten in Reproductive health London : BioMed Central, 2004 15(2018), 1 vom: 24. Mai (DE-627)389462543 (DE-600)2149029-6 1742-4755 nnns volume:15 year:2018 number:1 day:24 month:05 https://dx.doi.org/10.1186/s12978-018-0544-1 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2018 1 24 05
spelling	10.1186/s12978-018-0544-1 doi (DE-627)SPR029192137 (SPR)s12978-018-0544-1-e DE-627 ger DE-627 rakwb eng Qi, Xin-Ying verfasserin (orcid)0000-0002-8381-6288 aut Examination of the association of physical activity during pregnancy after cesarean delivery and vaginal birth among Chinese women 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2018 Background The goal was to study whether higher physical activity can increase the success rate of Vaginal Birth after Cesarean Delivery (VBAC). Methods We enrolled 823 patients with previous cesarean section delivery history (between January 2015 and December 2017) and measured their physical activity during pregnancy. A final number of 519 patients were included for the trial of labor after cesarean delivery (TOLAC). All patients signed informed consent forms. Results We conducted bivariate analyses and identified that several variables were associated with successful VBAC: Prior history of vaginal birth (odds ratio [OR] 2.4, 95% CI 1.8–3.9); previous indication for primary cesarean delivery (OR 2.2, 95% CI 1.5–3.0); age younger than 40 years (OR 2.1, 95% CI 1.3–3.4); Weight gain less than 20 kg (OR 1.5, 95% CI 1.3–2.4); high pelvic/birth weight score (OR 1.4, 95% CI 1.1–2.0); no induction of labor (OR 1.9, 95% CI 1.4–2.8); and estimated prenatal fetal weight (OR 1.4, 95% CI 1.2–1.5). We also found that the bivariate association between physical activity and VBAC was significant (p = 0.002). In addition, there was higher odds of VBAC in women who had active physical activity of more than 150 min/week (adjusted OR 1.86, 95% CI 1.69–2.07). Lower odds of VBAC was associated with older age, weight gain during pregnancy, induction of labor, and having estimated prenatal fetal weight more than 3500 g. Conclusion Physical activity during pregnancy may influence the success rate of VBAC in Chinese women. Future studies will be needed to prove the robustness of this association using more detailed exposure and outcome definitions. Vaginal birth after cesarean delivery (dpeaa)DE-He213 Trial of labor after cesarean delivery (dpeaa)DE-He213 Physical activity (dpeaa)DE-He213 Exercise (dpeaa)DE-He213 Xing, Yan-Ping aut Wang, Xue-Zhen aut Yang, Feng-Zhen aut Enthalten in Reproductive health London : BioMed Central, 2004 15(2018), 1 vom: 24. Mai (DE-627)389462543 (DE-600)2149029-6 1742-4755 nnns volume:15 year:2018 number:1 day:24 month:05 https://dx.doi.org/10.1186/s12978-018-0544-1 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2018 1 24 05
allfields_unstemmed	10.1186/s12978-018-0544-1 doi (DE-627)SPR029192137 (SPR)s12978-018-0544-1-e DE-627 ger DE-627 rakwb eng Qi, Xin-Ying verfasserin (orcid)0000-0002-8381-6288 aut Examination of the association of physical activity during pregnancy after cesarean delivery and vaginal birth among Chinese women 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2018 Background The goal was to study whether higher physical activity can increase the success rate of Vaginal Birth after Cesarean Delivery (VBAC). Methods We enrolled 823 patients with previous cesarean section delivery history (between January 2015 and December 2017) and measured their physical activity during pregnancy. A final number of 519 patients were included for the trial of labor after cesarean delivery (TOLAC). All patients signed informed consent forms. Results We conducted bivariate analyses and identified that several variables were associated with successful VBAC: Prior history of vaginal birth (odds ratio [OR] 2.4, 95% CI 1.8–3.9); previous indication for primary cesarean delivery (OR 2.2, 95% CI 1.5–3.0); age younger than 40 years (OR 2.1, 95% CI 1.3–3.4); Weight gain less than 20 kg (OR 1.5, 95% CI 1.3–2.4); high pelvic/birth weight score (OR 1.4, 95% CI 1.1–2.0); no induction of labor (OR 1.9, 95% CI 1.4–2.8); and estimated prenatal fetal weight (OR 1.4, 95% CI 1.2–1.5). We also found that the bivariate association between physical activity and VBAC was significant (p = 0.002). In addition, there was higher odds of VBAC in women who had active physical activity of more than 150 min/week (adjusted OR 1.86, 95% CI 1.69–2.07). Lower odds of VBAC was associated with older age, weight gain during pregnancy, induction of labor, and having estimated prenatal fetal weight more than 3500 g. Conclusion Physical activity during pregnancy may influence the success rate of VBAC in Chinese women. Future studies will be needed to prove the robustness of this association using more detailed exposure and outcome definitions. Vaginal birth after cesarean delivery (dpeaa)DE-He213 Trial of labor after cesarean delivery (dpeaa)DE-He213 Physical activity (dpeaa)DE-He213 Exercise (dpeaa)DE-He213 Xing, Yan-Ping aut Wang, Xue-Zhen aut Yang, Feng-Zhen aut Enthalten in Reproductive health London : BioMed Central, 2004 15(2018), 1 vom: 24. Mai (DE-627)389462543 (DE-600)2149029-6 1742-4755 nnns volume:15 year:2018 number:1 day:24 month:05 https://dx.doi.org/10.1186/s12978-018-0544-1 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2018 1 24 05
allfieldsGer	10.1186/s12978-018-0544-1 doi (DE-627)SPR029192137 (SPR)s12978-018-0544-1-e DE-627 ger DE-627 rakwb eng Qi, Xin-Ying verfasserin (orcid)0000-0002-8381-6288 aut Examination of the association of physical activity during pregnancy after cesarean delivery and vaginal birth among Chinese women 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2018 Background The goal was to study whether higher physical activity can increase the success rate of Vaginal Birth after Cesarean Delivery (VBAC). Methods We enrolled 823 patients with previous cesarean section delivery history (between January 2015 and December 2017) and measured their physical activity during pregnancy. A final number of 519 patients were included for the trial of labor after cesarean delivery (TOLAC). All patients signed informed consent forms. Results We conducted bivariate analyses and identified that several variables were associated with successful VBAC: Prior history of vaginal birth (odds ratio [OR] 2.4, 95% CI 1.8–3.9); previous indication for primary cesarean delivery (OR 2.2, 95% CI 1.5–3.0); age younger than 40 years (OR 2.1, 95% CI 1.3–3.4); Weight gain less than 20 kg (OR 1.5, 95% CI 1.3–2.4); high pelvic/birth weight score (OR 1.4, 95% CI 1.1–2.0); no induction of labor (OR 1.9, 95% CI 1.4–2.8); and estimated prenatal fetal weight (OR 1.4, 95% CI 1.2–1.5). We also found that the bivariate association between physical activity and VBAC was significant (p = 0.002). In addition, there was higher odds of VBAC in women who had active physical activity of more than 150 min/week (adjusted OR 1.86, 95% CI 1.69–2.07). Lower odds of VBAC was associated with older age, weight gain during pregnancy, induction of labor, and having estimated prenatal fetal weight more than 3500 g. Conclusion Physical activity during pregnancy may influence the success rate of VBAC in Chinese women. Future studies will be needed to prove the robustness of this association using more detailed exposure and outcome definitions. Vaginal birth after cesarean delivery (dpeaa)DE-He213 Trial of labor after cesarean delivery (dpeaa)DE-He213 Physical activity (dpeaa)DE-He213 Exercise (dpeaa)DE-He213 Xing, Yan-Ping aut Wang, Xue-Zhen aut Yang, Feng-Zhen aut Enthalten in Reproductive health London : BioMed Central, 2004 15(2018), 1 vom: 24. Mai (DE-627)389462543 (DE-600)2149029-6 1742-4755 nnns volume:15 year:2018 number:1 day:24 month:05 https://dx.doi.org/10.1186/s12978-018-0544-1 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2018 1 24 05
allfieldsSound	10.1186/s12978-018-0544-1 doi (DE-627)SPR029192137 (SPR)s12978-018-0544-1-e DE-627 ger DE-627 rakwb eng Qi, Xin-Ying verfasserin (orcid)0000-0002-8381-6288 aut Examination of the association of physical activity during pregnancy after cesarean delivery and vaginal birth among Chinese women 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2018 Background The goal was to study whether higher physical activity can increase the success rate of Vaginal Birth after Cesarean Delivery (VBAC). Methods We enrolled 823 patients with previous cesarean section delivery history (between January 2015 and December 2017) and measured their physical activity during pregnancy. A final number of 519 patients were included for the trial of labor after cesarean delivery (TOLAC). All patients signed informed consent forms. Results We conducted bivariate analyses and identified that several variables were associated with successful VBAC: Prior history of vaginal birth (odds ratio [OR] 2.4, 95% CI 1.8–3.9); previous indication for primary cesarean delivery (OR 2.2, 95% CI 1.5–3.0); age younger than 40 years (OR 2.1, 95% CI 1.3–3.4); Weight gain less than 20 kg (OR 1.5, 95% CI 1.3–2.4); high pelvic/birth weight score (OR 1.4, 95% CI 1.1–2.0); no induction of labor (OR 1.9, 95% CI 1.4–2.8); and estimated prenatal fetal weight (OR 1.4, 95% CI 1.2–1.5). We also found that the bivariate association between physical activity and VBAC was significant (p = 0.002). In addition, there was higher odds of VBAC in women who had active physical activity of more than 150 min/week (adjusted OR 1.86, 95% CI 1.69–2.07). Lower odds of VBAC was associated with older age, weight gain during pregnancy, induction of labor, and having estimated prenatal fetal weight more than 3500 g. Conclusion Physical activity during pregnancy may influence the success rate of VBAC in Chinese women. Future studies will be needed to prove the robustness of this association using more detailed exposure and outcome definitions. Vaginal birth after cesarean delivery (dpeaa)DE-He213 Trial of labor after cesarean delivery (dpeaa)DE-He213 Physical activity (dpeaa)DE-He213 Exercise (dpeaa)DE-He213 Xing, Yan-Ping aut Wang, Xue-Zhen aut Yang, Feng-Zhen aut Enthalten in Reproductive health London : BioMed Central, 2004 15(2018), 1 vom: 24. Mai (DE-627)389462543 (DE-600)2149029-6 1742-4755 nnns volume:15 year:2018 number:1 day:24 month:05 https://dx.doi.org/10.1186/s12978-018-0544-1 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2018 1 24 05
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Methods We enrolled 823 patients with previous cesarean section delivery history (between January 2015 and December 2017) and measured their physical activity during pregnancy. A final number of 519 patients were included for the trial of labor after cesarean delivery (TOLAC). All patients signed informed consent forms. Results We conducted bivariate analyses and identified that several variables were associated with successful VBAC: Prior history of vaginal birth (odds ratio [OR] 2.4, 95% CI 1.8–3.9); previous indication for primary cesarean delivery (OR 2.2, 95% CI 1.5–3.0); age younger than 40 years (OR 2.1, 95% CI 1.3–3.4); Weight gain less than 20 kg (OR 1.5, 95% CI 1.3–2.4); high pelvic/birth weight score (OR 1.4, 95% CI 1.1–2.0); no induction of labor (OR 1.9, 95% CI 1.4–2.8); and estimated prenatal fetal weight (OR 1.4, 95% CI 1.2–1.5). We also found that the bivariate association between physical activity and VBAC was significant (p = 0.002). 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author	Qi, Xin-Ying
spellingShingle	Qi, Xin-Ying misc Vaginal birth after cesarean delivery misc Trial of labor after cesarean delivery misc Physical activity misc Exercise Examination of the association of physical activity during pregnancy after cesarean delivery and vaginal birth among Chinese women
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topic_title	Examination of the association of physical activity during pregnancy after cesarean delivery and vaginal birth among Chinese women Vaginal birth after cesarean delivery (dpeaa)DE-He213 Trial of labor after cesarean delivery (dpeaa)DE-He213 Physical activity (dpeaa)DE-He213 Exercise (dpeaa)DE-He213
topic	misc Vaginal birth after cesarean delivery misc Trial of labor after cesarean delivery misc Physical activity misc Exercise
topic_unstemmed	misc Vaginal birth after cesarean delivery misc Trial of labor after cesarean delivery misc Physical activity misc Exercise
topic_browse	misc Vaginal birth after cesarean delivery misc Trial of labor after cesarean delivery misc Physical activity misc Exercise
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title	Examination of the association of physical activity during pregnancy after cesarean delivery and vaginal birth among Chinese women
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title_full	Examination of the association of physical activity during pregnancy after cesarean delivery and vaginal birth among Chinese women
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author_browse	Qi, Xin-Ying Xing, Yan-Ping Wang, Xue-Zhen Yang, Feng-Zhen
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title_sort	examination of the association of physical activity during pregnancy after cesarean delivery and vaginal birth among chinese women
title_auth	Examination of the association of physical activity during pregnancy after cesarean delivery and vaginal birth among Chinese women
abstract	Background The goal was to study whether higher physical activity can increase the success rate of Vaginal Birth after Cesarean Delivery (VBAC). Methods We enrolled 823 patients with previous cesarean section delivery history (between January 2015 and December 2017) and measured their physical activity during pregnancy. A final number of 519 patients were included for the trial of labor after cesarean delivery (TOLAC). All patients signed informed consent forms. Results We conducted bivariate analyses and identified that several variables were associated with successful VBAC: Prior history of vaginal birth (odds ratio [OR] 2.4, 95% CI 1.8–3.9); previous indication for primary cesarean delivery (OR 2.2, 95% CI 1.5–3.0); age younger than 40 years (OR 2.1, 95% CI 1.3–3.4); Weight gain less than 20 kg (OR 1.5, 95% CI 1.3–2.4); high pelvic/birth weight score (OR 1.4, 95% CI 1.1–2.0); no induction of labor (OR 1.9, 95% CI 1.4–2.8); and estimated prenatal fetal weight (OR 1.4, 95% CI 1.2–1.5). We also found that the bivariate association between physical activity and VBAC was significant (p = 0.002). In addition, there was higher odds of VBAC in women who had active physical activity of more than 150 min/week (adjusted OR 1.86, 95% CI 1.69–2.07). Lower odds of VBAC was associated with older age, weight gain during pregnancy, induction of labor, and having estimated prenatal fetal weight more than 3500 g. Conclusion Physical activity during pregnancy may influence the success rate of VBAC in Chinese women. Future studies will be needed to prove the robustness of this association using more detailed exposure and outcome definitions. © The Author(s). 2018
abstractGer	Background The goal was to study whether higher physical activity can increase the success rate of Vaginal Birth after Cesarean Delivery (VBAC). Methods We enrolled 823 patients with previous cesarean section delivery history (between January 2015 and December 2017) and measured their physical activity during pregnancy. A final number of 519 patients were included for the trial of labor after cesarean delivery (TOLAC). All patients signed informed consent forms. Results We conducted bivariate analyses and identified that several variables were associated with successful VBAC: Prior history of vaginal birth (odds ratio [OR] 2.4, 95% CI 1.8–3.9); previous indication for primary cesarean delivery (OR 2.2, 95% CI 1.5–3.0); age younger than 40 years (OR 2.1, 95% CI 1.3–3.4); Weight gain less than 20 kg (OR 1.5, 95% CI 1.3–2.4); high pelvic/birth weight score (OR 1.4, 95% CI 1.1–2.0); no induction of labor (OR 1.9, 95% CI 1.4–2.8); and estimated prenatal fetal weight (OR 1.4, 95% CI 1.2–1.5). We also found that the bivariate association between physical activity and VBAC was significant (p = 0.002). In addition, there was higher odds of VBAC in women who had active physical activity of more than 150 min/week (adjusted OR 1.86, 95% CI 1.69–2.07). Lower odds of VBAC was associated with older age, weight gain during pregnancy, induction of labor, and having estimated prenatal fetal weight more than 3500 g. Conclusion Physical activity during pregnancy may influence the success rate of VBAC in Chinese women. Future studies will be needed to prove the robustness of this association using more detailed exposure and outcome definitions. © The Author(s). 2018
abstract_unstemmed	Background The goal was to study whether higher physical activity can increase the success rate of Vaginal Birth after Cesarean Delivery (VBAC). Methods We enrolled 823 patients with previous cesarean section delivery history (between January 2015 and December 2017) and measured their physical activity during pregnancy. A final number of 519 patients were included for the trial of labor after cesarean delivery (TOLAC). All patients signed informed consent forms. Results We conducted bivariate analyses and identified that several variables were associated with successful VBAC: Prior history of vaginal birth (odds ratio [OR] 2.4, 95% CI 1.8–3.9); previous indication for primary cesarean delivery (OR 2.2, 95% CI 1.5–3.0); age younger than 40 years (OR 2.1, 95% CI 1.3–3.4); Weight gain less than 20 kg (OR 1.5, 95% CI 1.3–2.4); high pelvic/birth weight score (OR 1.4, 95% CI 1.1–2.0); no induction of labor (OR 1.9, 95% CI 1.4–2.8); and estimated prenatal fetal weight (OR 1.4, 95% CI 1.2–1.5). We also found that the bivariate association between physical activity and VBAC was significant (p = 0.002). In addition, there was higher odds of VBAC in women who had active physical activity of more than 150 min/week (adjusted OR 1.86, 95% CI 1.69–2.07). Lower odds of VBAC was associated with older age, weight gain during pregnancy, induction of labor, and having estimated prenatal fetal weight more than 3500 g. Conclusion Physical activity during pregnancy may influence the success rate of VBAC in Chinese women. Future studies will be needed to prove the robustness of this association using more detailed exposure and outcome definitions. © The Author(s). 2018
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title_short	Examination of the association of physical activity during pregnancy after cesarean delivery and vaginal birth among Chinese women
url	https://dx.doi.org/10.1186/s12978-018-0544-1
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author2	Xing, Yan-Ping Wang, Xue-Zhen Yang, Feng-Zhen
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up_date	2024-07-03T23:53:47.922Z
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In addition, there was higher odds of VBAC in women who had active physical activity of more than 150 min/week (adjusted OR 1.86, 95% CI 1.69–2.07). Lower odds of VBAC was associated with older age, weight gain during pregnancy, induction of labor, and having estimated prenatal fetal weight more than 3500 g. Conclusion Physical activity during pregnancy may influence the success rate of VBAC in Chinese women. 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Examination of the association of physical activity during pregnancy after cesarean delivery and vaginal birth among Chinese women

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