{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T06:20:08Z","timestamp":1785565208261,"version":"3.56.0"},"reference-count":27,"publisher":"Federacion Colombiana de Obstetricia y Ginecologia","issue":"4","license":[{"start":{"date-parts":[[2022,12,30]],"date-time":"2022-12-30T00:00:00Z","timestamp":1672358400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["revista.fecolsog.org"],"crossmark-restriction":false},"short-container-title":["Rev. Colomb. Obstet. Ginecol."],"abstract":"<jats:p>Objetivos: determinar la proporci\u00f3n de parto vaginal exitoso en mujeres con ces\u00e1rea previa, describir las complicaciones maternas y perinatales, y realizar una aproximaci\u00f3n a los factores asociados al parto vaginal.\nMateriales y m\u00e9todos: estudio de corte transversal descriptivo. Se incluyeron mujeres con antecedente de un parto por ces\u00e1rea, con edad gestacional mayor a 24 semanas y fetos \u00fanicos vivos que tuvieron prueba de parto vaginal, atendidas en una instituci\u00f3n p\u00fablica de alta complejidad en 2019. Se excluyeron aquellas pacientes con antecedente de m\u00e1s de una ces\u00e1rea o miomectom\u00eda. Muestreo consecutivo. Se midieron variables sociodemogr\u00e1ficas, obst\u00e9tricas, v\u00eda del parto y complicaciones maternas y perinatales. Se hace an\u00e1lisis descriptivo y un an\u00e1lisis exploratorio multivariado de los factores asociados al parto vaginal exitoso.\nResultados: de 286 gestantes incluidas, el porcentaje de \u00e9xito de parto vaginal fue del 74,5 %. Se identificaron complicaciones maternas en el 3,2 % de los partos vaginales y en el 6,8 % de las ces\u00e1reas. El 1,3 % de los reci\u00e9n nacidos tuvo alguna complicaci\u00f3n. Hubo 2 muertes perinatales. Se encontr\u00f3 asociaci\u00f3n entre parto vaginal exitoso y tener antecedente de parto vaginal (OR: 2,7; IC 95 %: 1,15-6,29); puntaje de Bishop mayor de 6 (OR: 2,2; IC 95 %: 1,03-4,56); inicio de trabajo de parto espont\u00e1neo (OR: 4,5; IC 95 %: 2,07-9,6); y edad materna menor de 30 a\u00f1os (OR: 2,28; IC 95 %: 1,2-4,2).\nConclusiones: el parto vaginal es una opci\u00f3n segura para considerar en pacientes con ces\u00e1rea anterior, especialmente si inician trabajo de parto espont\u00e1neo o han tenido un parto vaginal previamente. Se requieren cohortes prospectivas para confirmar estos hallazgos.<\/jats:p>","DOI":"10.18597\/rcog.3874","type":"journal-article","created":{"date-parts":[[2022,12,29]],"date-time":"2022-12-29T15:38:00Z","timestamp":1672328280000},"page":"369-377","update-policy":"https:\/\/doi.org\/10.18597\/crossmark","source":"Crossref","is-referenced-by-count":2,"title":["Parto vaginal exitoso y resultados maternos y perinatales en pacientes con antecedente de ces\u00e1rea y prueba de trabajo de parto: estudio de corte transversal"],"prefix":"10.18597","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9353-7306","authenticated-orcid":false,"given":"Carolina","family":"Arango-Montoya","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1741-6224","authenticated-orcid":false,"given":"Mar\u00eda Ximena","family":"L\u00f3pez-Arroyave","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4143-8052","authenticated-orcid":false,"given":"Juliana","family":"Mar\u00edn-R\u00edos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4620-655X","authenticated-orcid":false,"given":"Alejandro","family":"Colonia-Toro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2552-3660","authenticated-orcid":false,"given":"Jos\u00e9","family":"Bare\u00f1o-Silva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"7913","published-online":{"date-parts":[[2022,12,30]]},"reference":[{"key":"91478","unstructured":"Hamilton BE, Martin JA, Osterman M, Curtin SC, Mathews TJ. 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