Predictive score for vaginal birth after cesarean section

Weinstein, D; Benshushan, Abraham; Tanos, Vasilios; Zilberstein, Ronit; Rojansky, Nathan

doi:10.1016/s0002-9378(96)70393-9

Cited by 129 publications

(95 citation statements)

References 17 publications

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“…In our study, significant association of success of VBAC was noted in patients with history of prior VBAC as compared to patients without history of prior VBAC (P value being <0.0001). This is in conformity of the finding of Weinstein et al 1996 8 who had stated that history of previous vaginal delivery is a good prognostic indicator of VBAC in current pregnancy. In our study the commonest indication of emergency LSCS in patients with failed VBAC was fetal distress (36.3%) and this is comparable with the finding of Merill et.…”

Section: Discussionsupporting

confidence: 93%

To study the maternal and perinatal outcome following vaginal birth after caesarean section after one previous lower segment caesarean section

Latika¹,

Kaur

Singh

2015

Int J Reprod Contracept Obstet Gynecol

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Section: Discussionsupporting

confidence: 93%

To study the maternal and perinatal outcome following vaginal birth after caesarean section after one previous lower segment caesarean section

Latika¹,

Kaur

Singh

2015

Int J Reprod Contracept Obstet Gynecol

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“…18 This fact together with the lower reported incidence of uterine rupture and consequent maternal and fetal compromise strongly argues for the trial of labor in carefully selected patients with previous cesarean section. 19 Present study reveals that majority (87.30%) case shad no post-operative complication.…”

Section: Discussionmentioning

confidence: 49%

Fetomaternal Outcome of Pregnancy With Previous Cesarean Section

Mishra¹,

Taori²,

Misri³

2014

jemds

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OBJECTIVE:The aim of the study was to see the fetomaternal outcome of pregnancy with previous cesarean section. METHODS: This study was conducted in the department of OBGYN, BARC Hospital, Mumbai from October 2011 to September 2012, a period of one year. All the pregnant women with previous one cesarean section attending ANC clinic for confinement were included in the study group after giving consent. RESULTS: Out of total75 cases, a total of 23 patients (30.67%) were given trial of labor. Out of 23 patients given trial of labor, 12 patients (52.17%) had successful VBAC. Commonest indication for unsuccessful trial of labor undergoing repeat cesarean section was nonprogress of labor (54.55%) and failed IOL (36.67%). Out of 12 patients who had successful VBAC, 3 patients (25%) had complication like episiotomy hematoma, perineal tear and cervical tear. No patients had major complications. In present study no baby had apgar score <7 at 1min and 5 min in VBAC group and elective LSCS group. CONCLUSION: The current study concludes that women with a prior cesarean are at increased risk for repeat cesarean section. Vigilance with respect to indication at primary cesarean delivery, proper counseling for trial of labor and proper antepartum and intrapartum monitoring of patients, are key to reducing the cesarean section rates. The antepartum, intrapartum and postpartum complications are more in repeat cesarean section cases. There is no doubt that a trial of labor is a relatively safe procedure, but it is not risk free. Therefore, patient evaluation prior to TOLAC, careful observation throughout labor in a well-equipped unit with around the clock services for emergency surgery and availability of expertise is the backbone for successful VBAC.

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“…[3][4][5][6][7][8][9]29 Some evaluated with a separate validation data set taken from the retrospective and prospective cohort studies 5,7,9 and others evaluated the screening performance tool by examining the area under the Receiver Operating Characteristic curve obtained by plotting the true positivity rate (sensitivity) against the false positivity rate (1 -specificity). 1,6,30 Although these systems can be used even in pregnancies without prior caesarean deliveries since high negative predictive values imply that the scores will be useful to find out which women were unlikely to undergo caesarean delivery, the presented scoring system by encompassing all possible factors obstetric and nonobstetric seems to be more comprehensive.…”

Section: Scoring Systems To Decide Mode Of Deliverymentioning

confidence: 99%