Analytical study of factors determining success rate of trial of scar (TOS)

Panchal, Ashish R.; Soni, Anjali; Joshi, Parth M; Vaishnav, Gunvant; Pagi, S L

doi:10.5455/ijmsph.2015.01022015178

Cited by 1 publication

(2 citation statements)

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“…This result is similar to Panchal et al study and Narang H et al study. 14,15 The present study showed that the most common indication of emergency Caesarean Section in patients undergoing TOLAC was scar tenderness (42.2%) which is similar to Ray P et al and Rahman R et al study. 16,17 Cervical factors, in terms of dilatation and effacement have been studied individually in this study and found to be useful in predicting vaginal birth.…”

Section: Discussionsupporting

confidence: 89%

“…Out of the total 75 patients who underwent TOLAC in this study, 40% patients delivered vaginally, and 60% patients had emergency LSCS which is comparable to Panchal A et al study. 14 In the present study, all patients with history of vaginal delivery both before and after the previous caesarean had successful VBAC (100%), while patients with history of vaginal delivery after the previous caesarean and before the previous caesarean had successful VBAC in 83.3% and 50% cases respectively. Only 31.7% patients had successful VBAC with no history of previous vaginal delivery (P=0.006).…”

Section: Discussionsupporting

confidence: 48%

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Prediction of successful vaginal birth after caesarean section based on Flamm and Geiger scoring system a prospective observational study

Sahu

Chaudhary

Sharma

2018

Int J Reprod Contracept Obstet Gynecol

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Background: The aim of this study was to evaluate the adequacy of Flamm and Geiger scoring system in prediction of successful vaginal birth after caesarean section.Methods: A prospective observational study was carried out on 75 pregnant women with previous one caesarean section in department of obstetrics and Gynecology, St Stephen’s hospital, New Delhi over a period of one year.Results: In the present study, out of 75 patients, 40% patients had successful VBAC and 60% patients had emergency LSCS. Among successful VBAC 70% patients had spontaneous vaginal delivery, while 23.3% patients had vacuum assisted and 6.7% had forceps assisted vaginal delivery. Most of the patients with total Flamm and Geiger score < 3 at the time of admission had emergency caesarean section while most of the patients with score >4 had successful VBAC. There were 53.3%, 75%, 85.7% and 100% probabilities of Successful VBAC with total score 4,5,6 and >8 respectively. Mean score for successful VBAC was 5±1.66and for emergency caesarean was 2.97±0.83.Conclusions: As total Flamm and Geiger score increases, a chance of successful VBAC increases. Application of Flamm and Geiger scoring gives fare judgment of successful vaginal birth in TOLAC and reduces the rate of failed trial leading to emergency caesarean section, thus improving outcome in a trial of labor.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 48%