Parto vaginal después de cesárea ¿Es posible?: Una revisión de la literatura

Autores/as

Resumen

Colombia al igual que el resto de los países de medianos y altos ingresos presenta cada vez tasas más altas de cesáreas. A pesar de que el parto vaginal representa beneficios tanto para la madre como para el neonato, la cesárea es un procedimiento indispensable para proteger la vida de la madre y/o el feto en circunstancias médicas usualmente definidas. Históricamente, el parto vaginal después de cesárea (PVDC) no ha sido considerado una opción debido al riesgo de rotura uterina y posteriores complicaciones potencialmente fatales. Desde 1980 ha incrementado el interés por el PVDC teniendo cada vez más datos sobre la seguridad de realizar dicho procedimiento. El presente artículo busca describir los beneficios maternos y fetales del parto frente a la cesárea, además resumir la evidencia y las guías internacionales que existen sobre la seguridad del trabajo de parto, inducción del trabajo de parto y complicaciones asociadas al mismo. 

Descargas

Los datos de descarga aún no están disponibles.

Biografía del autor/a

  • Geraldin Maloof-Rojas, Pontificia Universidad Javeriana Cali (Colombia)

    Médica.

  • Isabella Valencia-León, Pontificia Universidad Javeriana Cali (Colombia)

    Médica.

  • Edwardo Adriam Lerma, Pontificia Universidad Javeriana Cali (Colombia)

    Estudiante de Medicina.

  • Jesús Vélez-Quiñones, Pontificia Universidad Javeriana Cali (Colombia)

    Médico.

Referencias

1. Carlos Schnapp S, Eduardo Sepúlveda S, Jorge Andrés Robert S. Operación cesárea. Rev médica Clín Las Condes. 2014; 25(6):987–92.

2. Zuleta-Tobón JJ. Evolución de la cesárea en Colombia y su asociación con la naturaleza jurídica de la institución donde se atiende el parto . Rev Colomb Obstet Ginecol. 2023; 74(1):15-27. DOI: 10.18597/rcog.3901

3. Betrán AP, Ye J, Moller AB, et al. The Increasing Trend in Caesarean Section Rates: Global, Regional and National Estimates: 1990-2014. PLoS One. 2016; 11(2):e0148343. DOI: 10.1371/journal.pone.014834

4. Declaración de la OMS sobre tasas de cesárea. (2015) Organización Mundial de la Salud.

5. Barriga-Moreno AP, Bautista-Sánchez J, Navarro-Vargas JR. Indicación de cesárea en el Instituto Materno Infantil (IMI) Bogotá- Colombia. Serie de sasos. Rev Fac Med 2012; 60(2):111-5.

6. Wu Y, Kataria Y, Wang Z, Ming WK, Ellervik C. Factors associated with successful vaginal birth after a cesarean section: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2019; 19(1):360. DOI: 10.1186/s12884-019-2517-y

7. Sargent J, Caughey AB. Vaginal Birth After Cesarean Trends: Which Way Is the Pendulum Swinging? Obstet Gynecol Clin North Am. 2017; 44(4):655-666. DOI: 10.1016/j.ogc.2017.08.006

8. Placek PJ, Taffel SM. Vaginal birth after cesarean (VBAC) in the 1980s. Am J Public Health. 1988; 78(5):512-5. DOI: 10.2105/ajph.78.5.512

9. Uzcátegui U Ofelia. Estado actual de la Cesárea. Gac Méd Caracas. 2008; 116(4):280-286.

10. Baca Hernandez A, Borbilla Ramos M. Indicación más frecuente de cesare mediante la aplicación de la clasificación de Robson en el Hospital San Jose de Queretano en el periodo de marzo 2021 a mayo 2022. Archivos de Ginecología y Obstetricia. 2022; 60(3): 157-165.

11. Odejinmi F, Strong S, Sideris M, Mallick R. Caesarean section in women following an abdominal myomectomy: a choice or a need? Facts Views Vis Obgyn. 2020; 12(1):57-60.

12. Mekonnen BD, Asfaw AA. Predictors of successful vaginal birth after a cesarean section in Ethiopia: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2023; 23(1):65. DOI: 10.1186/s12884-023-05396-w

13. Arango-Montoya C, López-Arroyave MX, Marín-Ríos J, Colonia-Toro A, Bareño-Silva J. Successful vaginal delivery and maternal and perinatal outcomes in patients with a history of cesarean section and labor trial: cross-sectional study. Rev Colomb Obstet Ginecol. 2022; 73(4):369-377 DOI: 10.18597/rcog.3874

14. Alshehri KA, Ammar AA, Aldhubabian MA, et al. Outcomes and Complications After Repeat Cesarean Sections Among King Abdulaziz University Hospital Patients. Mater Sociomed. 2019; 31(2):119-124. DOI: 10.5455/msm.2019.31.119-124

15. Guise JM, Eden K, Emeis C,et al. Vaginal birth after cesarean: new insights. Evid Rep Technol Assess (Full Rep). 2010; 191:1-397.

16. Qiu L, Zhu J, Lu X. The safety of trial of labor after cesarean section (TOLAC) versus elective repeat cesarean section (ERCS): a systematic review and meta-analysis. J Matern Fetal Neonatal Med. 2023; 36(1):2214831. DOI: 10.1080/14767058.2023.2214831

17. Oliveira MAP, Crispi CP Jr, Brollo LC, Crispi CP, De Wilde RL. Surgery in adenomyosis. Arch Gynecol Obstet. 2018; 297(3):581-589. DOI: 10.1007/s00404-017-4603-6

18. Lazarou A, Oestergaard M, Netzl J, Siedentopf JP, Henrich W. Vaginal birth after cesarean (VBAC): fear it or dare it? An evaluation of potential risk factors. J Perinat Med. 2021; 49(7):773-782. DOI: 10.1515/jpm-2020-0222

19. Landon MB, Grobman WA; Eunice Kennedy Shriver National Institute of Child Health and Human Development Maternal–Fetal Medicine Units Network. What We Have Learned About Trial of Labor After Cesarean Delivery from the Maternal-Fetal Medicine Units Cesarean Registry. Semin Perinatol. 2016; 40(5):281-6. DOI: 10.1053/j.semperi.2016.03.003

20. Keag OE, Norman JE, Stock SJ. Long-term risks and benefits associated with cesarean delivery for mother, baby, and subsequent pregnancies: Systematic review and meta-analysis. PLoS Med. 2018; 15(1):e1002494. DOI: 10.1371/journal.pmed.1002494

21. Al Yassen AQ, Al-Asadi JN, Khalaf SK. The role of Caesarean section in childhood asthma. Malays Fam Physician. 2019; 14(3):10-17.

22. Young CB, Liu S, Muraca GM, Sabr Y, Pressey T, Liston RM, Joseph KS; Canadian Perinatal Surveillance System. Mode of delivery after a previous cesarean birth, and associated maternal and neonatal morbidity. CMAJ. 2018 May 7;190(18):E556-E564. DOI: 10.1503/cmaj.170371

23. Brix N, Stokholm L, Jonsdottir F, Kristensen K, Secher NJ. Comparable risk of childhood asthma after vaginal delivery and emergency caesarean section. Dan Med J. 2017; 64(1):A5313.

24. Zhong Z, Chen M, Dai S, Wang Y, Yao J, Shentu H, Huang J, Yu C, Zhang H, Wang T, Ren W. Association of cesarean section with asthma in children/adolescents: a systematic review and meta-analysis based on cohort studies. BMC Pediatr. 2023; 23(1):571. DOI: 10.1186/s12887-023-04396-1

25. Li HT, Zhou YB, Liu JM. The impact of cesarean section on offspring overweight and obesity: a systematic review and meta-analysis. Int J Obes (Lond). 2013; 37(7):893-9. DOI: 10.1038/ijo.2012.195

26. Liu F, Yang X, Tang A, Liu L. Association between mode of delivery and astigmatism in preschool children. Acta Ophthalmol. 2018; 96(2):e218-e221. DOI: 10.1111/aos.13552

27. Papadopoulou SK, Mentzelou M, Pavlidou E, Vasios GK, Spanoudaki M, Antasouras G, Sampani A, Psara E, Voulgaridou G, Tsourouflis G, Mantzorou M, Giaginis C. Caesarean Section Delivery Is Associated with Childhood Overweight and Obesity, Low Childbirth Weight and Postnatal Complications: A Cross-Sectional Study. Medicina (Kaunas). 2023; 59(4):664. DOI: 10.3390/medicina59040664

28. Kim HI, Nam S, Park Y, Jung YJ, Kim HY, Kim KW, Sohn MH, Kim YH, Lee JH, Hong SJ, Kwon JY. Cesarean section does not increase the prevalence of allergic disease within 3 years of age in the offsprings. Obstet Gynecol Sci. 2019; 62(1):11-18. DOI: 10.5468/ogs.2019.62.1.11

29. Maso G, Monasta L, Piccoli M, et al; Multicenter Study Group on Mode of Delivery in Friuli Venezia Giulia. Risk-adjusted operative delivery rates and maternal-neonatal outcomes as measures of quality assessment in obstetric care: a multicenter prospective study. BMC Pregnancy Childbirth. 2015; 15:20. DOI: 10.1186/s12884-015-0450-2

30. Fitzpatrick KE, Kurinczuk JJ, Bhattacharya S, Quigley MA. Planned mode of delivery after previous cesarean section and short-term maternal and perinatal outcomes: A population-based record linkage cohort study in Scotland. PLoS Med. 2019; 16(9):e1002913. DOI: 10.1371/journal.pmed.1002913

31. Sotiriadis A, McGoldrick E, Makrydimas G, et al. Antenatal corticosteroids prior to planned caesarean at term for improving neonatal outcomes. Cochrane Database Syst Rev. 2021; 12(12):CD006614. DOI: 10.1002/14651858.CD006614.pub4

32. Zhang T, Brander G, Mantel Ä, et al. Assessment of Cesarean Delivery and Neurodevelopmental and Psychiatric Disorders in the Children of a Population-Based Swedish Birth Cohort. JAMA Netw Open. 2021; 4(3):e210837. doi:10.1001/jamanetworkopen.2021.0837

33. Chen M, Lin Y, Yu C, et al. Effect of cesarean section on the risk of autism spectrum disorders/attention deficit hyperactivity disorder in offspring: a meta-analysis. Arch Gynecol Obstet. 2024; 309(2):439-455. DOI: 10.1007/s00404-023-07059-9

34. Šimják P, Cibula D, Pařízek A, Sláma J. Management of pregnancy after fertility-sparing surgery for cervical cancer. Acta Obstet Gynecol Scand. 2020; 99(7):830-838. DOI: 10.1111/aogs.13917

35. Grobman WA, Lai Y, Landon MB, et al. National Institute of Child Health and Human Development (NICHD) Maternal-Fetal Medicine Units Network (MFMU). Development of a nomogram for prediction of vaginal birth after cesarean delivery. Obstet Gynecol. 2007; 109(4):806-12. DOI: 10.1097/01.AOG.0000259312.36053.02

36. Metz TD, Stoddard GJ, Henry E, et al. Simple, validated vaginal birth after cesarean delivery prediction model for use at the time of admission. Obstet Gynecol. 2013; 122(3):571-8. DOI: 10.1097/AOG.0b013e31829f8ced

37. Fonseca, J. E., J. L. Rodriguez, and D. Maya Salazar. “Validación de modelos predictivos para parto vaginal exitoso después de cesárea.” Colombia Medica. 2019; 13-21. DOI: https://doi.org/10.25100/cm.v40i1.2521

38. Shatz L, Novack L, Mazor M, et al. Induction of labor after a prior cesarean delivery: lessons from a population-based study. J Perinat Med. 2013; 41(2):171-9. DOI: 10.1515/jpm-2012-0103

39. Bashirudin SB, Omar SZ, Gan F, Hamdan M, Tan PC. Induction of labor after one previous cesarean: Predictors of vaginal birth. Eur J Obstet Gynecol Reprod Biol X. 2023; 20:100249. DOI: 10.1016/j.eurox.2023.100249

40. Lydon-Rochelle M, Holt V, Easterling TR, Martin DP. Risk of uterine rupture during labor among women with a prior cesarean delivery. N Inglés J Med. 2001; 345:36. DOI: 10.1056/NEJM200107053450101

41. Wing DA, Lovett K, Paul RH. Disruption of prior uterine incision following misoprostol for labor induction in women with previous cesarean delivery. Obstet Gynecol. 1998; 91(5 Pt 2): 828-830. DOI: 10.1016/s0029-7844(97)00553-x

42. Hoffman MK, Grant GH. Induction of labor in women with a prior cesarean delivery. Seminars in Perinatology. 2015; 39(6):471-474. DOI: 10.1053/j.semperi.2015.07.011

43. Kwee A, Bots ML, Visser GHA, Bruinse HW. Obstetric management and outcome of pregnancy in women with a history of caesarean section in the Netherlands. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2007; 132(2):171-176. DOI: 10.1016/j.ejogrb.2006.07.017

44. Zhang H, Liu H, Luo S, Gu W. Oxytocin use in trial of labor after cesarean and its relationship with risk of uterine rupture in women with one previous cesarean section: a meta-analysis of observational studies. BMC Pregnancy and Childbirth. 2021; 21(1). DOI: 10.1016/j.ejogrb.2006.07.017

45. Stock SJ, Ferguson E, Duffy A, Ford I, Chalmers J, Norman JE. Outcomes of elective induction of labor compared with expectant management: population-based study. BMJ. 2012; 344:e2838. DOI: 10.1136/bmj.e2838

46. Palatnik A, Grobman WA. Induction of labor versus expectant management for women with a prior cesarean delivery. Am J Obstet Gynecol. 2015; 212:358.e1-6. DOI: 10.1016/j.ajog.2015.01.026

47. Kehl S, Weiss C, Rath W. Balloon catheters for induction of labor at term after previous cesarean section: a systematic review. Eur J Obstet Gynecol Reprod Biol. 2016; 204:44-50. DOI: 10.1016/j.ajog.2015.01.026

48. Rath W, Hellmeyer L, Tsikouras P, Stelzl P. Mechanical Methods for the Induction of Labour After Previous Caesarean Section - An Updated, Evidence-based Review. Geburtshilfe Frauenheilkd. 2022; 82(7):727-735. DOI: 10.1055/a-1731-7441

49. ACOG Practice Bulletin No. 205: Vaginal Birth After Cesarean Delivery. Obstet Gynecol. 2019; 133(2):e110-e127. DOI: 10.1097/AOG.0000000000003078

50. The Royal College of Obstetricians and Gynaecologists (RCOG). Birth after previous caesarean birth (green-top guideline no. 45). RCOG. 2015

51. Martel MJ, MacKinnon CJ. No. 155-Guidelines for Vaginal Birth After Previous Caesarean Birth. J Obstet Gynaecol Can. 2018; 40(3):e195-e207. DOI: 10.1016/j.jogc.2018.01.014

52. Arango-Montoya C, López-Arroyave MX, Marín-Ríos J, Colonia-Toro A, Bareño-Silva J. Parto vaginal exitoso y resultados maternos y perinatales en pacientes con antecedente de cesárea y prueba de trabajo de parto: estudio de corte transversal. Rev Colomb Obstet Ginecol. 2022; 73(4):369–77. DOI: 10.18597/rcog.3874

53. Cuero-Vidal OL, Clavijo-Prado CA. Parto vaginal después de una cesárea previa, Hospital San Juan de Dios, Cali (Colombia): Estudio de cohorte. Rev Colomb Obstet Ginecol. 2011; 62(2):148-54. DOI: 10.18597/rcog.231

54. Ley 2244 de 2022: Ley de parto Digno, Respetado y Humanizado.

Descargas

Publicado

2025-03-08

Número

Sección

Revisión de la literatura

Cómo citar

Parto vaginal después de cesárea ¿Es posible?: Una revisión de la literatura. (2025). Salutem Scientia Spiritus, 10(4), 77-84. http://revistas.javerianacali.edu.co/index.php/salutemscientiaspiritus/article/view/1547