A prospective study of a new prediction model of vaginal birth after cesarean section at a tertiary care centre

Lakra, Pinkey; Patil, Bhagyashri; Siwach, Sunita; Upadhyay, Manisha; Shivani, Shivani; Sangwan, Vijayata; Mahendru, Rajiv

doi:10.4274/tjod.galenos.2020.82205

Cited by 6 publications

(5 citation statements)

References 9 publications

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“…Of the failed VBAC, NRFHRP 87 (38.9%) and failed progress of labor, 72 (32.1%) were the main indications of emergency CS delivery. This finding is in line with a study done in Turkish 52 . More than half, (57.1%) of mothers gave birth within 8 h of the onset of labor with a mean of 9.4 ± 2.7 h for successful VBAC and 6.7 ± 2.9 h for failed TOLAC.…”

Section: Discussionsupporting

confidence: 93%

“…The success rate of VBAC in this study is lower relative to studies conducted in different countries: like Nigeria, India, China, Thailand, Vietnam and Iraq shows that the success rate of VBAC was > 50% 33 , 52 , 60 , 62 – 73 . This discrepancy indicates the presence of differences in the utilization of maternal health care services, such as ANC and PNC services, which are the main entry points to counsel women after CS delivery on the mode of delivery in their future pregnancy.…”

Section: Discussioncontrasting

confidence: 85%

See 1 more Smart Citation

Factors associated with successful vaginal birth after one lower uterine transverse cesarean section delivery

Tesfahun,

Awoke,

Kefale

et al. 2023

Sci Rep

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A Trial of labor after cesarean section is an attempt to deliver vaginally by a woman who had a previous cesarean delivery and when achieved by a vaginal delivery it is called successful vaginal birth after cesarean section. Vaginal birth after a caesarian section is a preferred method to decrease complications associated with repeated caesarian section delivery for both mother and fetus. It has a higher success rate when the right women are selected for a trial of labor. This study aimed to assess factors associated with successful vaginal birth after one lower uterine transverse cesarean section and to validate the Flamm and Geiger score at the public hospitals of Bahir Dar City, Northwest, Ethiopia, 2021. A health facility-based retrospective cross-sectional study was conducted from March 1 to 15/2021. A medical record review of 408 women charts with a trial of labor after one lower uterine transverse cesarean section from January 1/2020 to December 31/2020 was done and 345 women charts with complete maternal and fetal information were included in the study with a response rate of 84.6%. The data were collected using a structured checklist, entered into Epi data 3.1, and analyzed using SPSS 25.0 version. Logistic regression analyses were done to estimate the crude and adjusted odds ratio with a confidence interval of 95% and a P-value of less than 0.05 considered statistically significant. This study identified that the trial of labor after cesarean section rate was 69.5%, and the success rate of vaginal birth after one lower uterine transverse cesarean section was 35.07%. Of the failed trial of labor, fetal distress (38.9%) and failed progress of labor (32.1%) were the main indications for an emergency cesarean section. The maternal age group of 21–30 years, prior vaginal birth after or before cesarean section, non-recurring indication (fetal distress and malpresentation), ruptured membrane, cervical dilatation ≥ 4 cm, cervical effacement ≥ 50%, and low station (≥ 0) at admission were associated with successful vaginal birth after one lower uterine transverse cesarean section. For the Flamm and Geiger score at a cut point of 5, the sensitivity and specificity were 73.6% and 86.6% respectively. In this study area, the trial of labor after cesarean section rate is encouraging, however, the success rate of vaginal birth after one lower uterine transverse caesarian section was lower. The maternal socio-demographic and obstetric-related factors were significantly associated with successful vaginal birth after one lower transverse caesarian section delivery. This study indicated that when the Flamm and Geiger score increases, the chance of successful vaginal birth after one lower uterine transverse caesarian section also increases. We suggest emphasizing counselling and encouraging the women, as their chance of successful vaginal delivery will be high in the subsequent pregnancy, especially if the indications of primary caesarian section delivery were non-recurring.

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Section: Discussionsupporting

confidence: 93%

Section: Discussioncontrasting

confidence: 85%

Factors associated with successful vaginal birth after one lower uterine transverse cesarean section delivery

Tesfahun,

Awoke,

Kefale

et al. 2023

Sci Rep

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“…Despite this, eight (8/17, 47%) of these unvalidated models were stated to be suitable for clinical use by their authors. [13][14][15][16][17][18][19][20] Five of the externally validated Grobman 2007 models altered the ethnicity predictor to reflect their population (eg, Annessi et al replaced Latina with Asian). These models are highlighted as Grobman 2007* in Table 1.…”

Section: Resultsmentioning

confidence: 99%

“…Despite this, eight (8/17, 47%) of these unvalidated models were stated to be suitable for clinical use by their authors. 13–20…”

Section: Resultsmentioning

confidence: 99%

Predictive Models for Estimating the Probability of Successful Vaginal Birth After Cesarean Delivery

Black

Henderson

Wattar

et al. 2022

Obstetrics &Amp; Gynecology

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“…El sistema de puntuación Flamm, desarrollado en 1997, se estructuró en base a los factores identificados durante el ingreso al nosocomio, como la edad materna inferior a 40 años (2 ptos), parto vaginal previo (antes y después de la cesárea 4 ptos, después de la cesárea 2 ptos, antes de la cesárea 1 pto y ausencia de parto vaginal preliminar 0 ptos), cesárea previa no motivada por falta de progresión (1 pto), borramiento del cérvix al ingreso (>75% -2 ptos, 25-75% -1 pto, <25% -0 pto) y dilatación cervical al ingreso ≥4 cm (1 pto). Si la suma de estos factores fluctúa entre 0-2 las probabilidades de éxito serán de 49%, 6-7 88% y 8-10 95% (punto de corte: 4-7 ptos) (16,22,23).…”

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Predicción de parto vaginal aplicando los puntajes Grobman y Flamm en el Hospital Nacional Docente Madre Niño San Bartolomé 2021

Garcia¹

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Objetivos del estudio: El objetivo será determinar la utilidad de los puntajes de Grobman y Flamm para la predicción de parto vaginal en pacientes con cesárea anterior en el Hospital Nacional Docente Madre Niño San Bartolomé (HONADOMANI) 2021. Metodología: diseño observacional, analítico, retrospectivo. La población en estudio será todas las gestantes con cesárea anterior del HONADOMANI, entre enero – diciembre 2021.

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A prospective study of a new prediction model of vaginal birth after cesarean section at a tertiary care centre

Cited by 6 publications

References 9 publications

Factors associated with successful vaginal birth after one lower uterine transverse cesarean section delivery

Factors associated with successful vaginal birth after one lower uterine transverse cesarean section delivery

Predictive Models for Estimating the Probability of Successful Vaginal Birth After Cesarean Delivery

Predicción de parto vaginal aplicando los puntajes Grobman y Flamm en el Hospital Nacional Docente Madre Niño San Bartolomé 2021

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