Effectiveness and safety of assisted vaginal birth and second-stage cesarean section: a systematic review and meta-analysis of real-world contemporary data
Contemporary data reveal wide variability in the prevalence of failed assisted vaginal birth and adverse maternal and neonatal outcomes following operative delivery in the second stage of labor. While assisted vaginal birth carries specific risks, it may offer advantages over emergency second-stage cesarean section, particularly regarding neonatal outcomes.
Authors
- Elena Greco (ORCID: https://orcid.org/0000-0002-6307-8687)
- Maria Regina Torloni (ORCID: https://orcid.org/0000-0003-4944-0720)
- Stamatina Iliodromiti (ORCID: https://orcid.org/0000-0001-6453-6654)
- Marcus Cabrera-Dandy
- Mario Merialdi (ORCID: https://orcid.org/0000-0003-4031-3039)
Institutions
- Queen Mary University of London (GB)
- Partnership for Child Health (US)
- Universidade Federal de São Paulo (BR)
Publication Details
- Journal
- American Journal of Obstetrics and Gynecology
- Published
- 2025-09-13
- DOI
- https://doi.org/10.1016/j.ajog.2025.09.022
- Primary Topic
- Maternal and Perinatal Health Interventions
- Type
- article
- Field-Weighted Citation Impact
- 0.00