Effect of Prior Vaginal Delivery or Prior Vaginal Birth After Cesarean Delivery on Obstetric Outcomes in Women Undergoing Trial of Labor

2004 ◽  
Vol 104 (2) ◽  
pp. 273-277 ◽  
Author(s):  
Israel Hendler ◽  
Emmanuel Bujold
Keyword(s):  
Cesarean Delivery ◽  
Vaginal Delivery ◽  
Vaginal Birth ◽  
Obstetric Outcomes ◽  
Vaginal Birth After Cesarean ◽  
Trial Of Labor

scholarly journals Predictors of success of trial of labor after cesarean section: A nested case–control study at public hospitals in Eastern Ethiopia

2021 ◽  
Vol 17 ◽  
pp. 174550652110619
Author(s):  
Maleda Tefera ◽  
Nega Assefa ◽  
Kedir Teji Roba ◽  
Letta Gedefa
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Vaginal Birth ◽  
Public Hospitals ◽  
Vaginal Birth After Cesarean ◽  
Eastern Ethiopia ◽  
Trial Of Labor ◽  
History Of ◽  
Nested Case Control

Background: One of the primary reasons for an increase in cesarean sections is obstetricians’ uncertainty about labor trial safety following a previous cesarean section. The success rate of vaginal birth after cesarean section with a single cesarean scar is greater than 50%. However, to the best of our knowledge, there is a scarcity of information on the determinants of vaginal birth after cesarean delivery in the study area. As a result, the purpose of this study was to identify predictors of successful vaginal birth after cesarean delivery in public hospitals in Eastern Ethiopia. Methods: A nested case–control study design was used within a prospective follow-up study conducted from June to October 2020. A total of 220 women who tried vaginal birth after cesarean delivery was included, 110 cases and 110 controls. Cases were women with one previous cesarean section scar and successfully proceed with vaginal delivery. The controls were those with an earlier cesarean section scar and delivered by emergency cesarean section after trial of labor. A pre-tested structured questionnaire was used to gather the information. Multiple logistic regression is used to identify the determinants for the success of vaginal birth after cesarean section; odds ratio with its 95% CI are used to report the findings. Results: We found that living in rural areas (AOR = 2.28; 95% CI (1.85, 12.41)), having a current antenatal care follow-up (AOR = 3.20; 95% CI (1.15, 8.87)) and partograph monitoring of labor (AOR = 4.26; 95% CI (1.90, 9.57)) had a positive association with successful vaginal birth after cesarean section. In contrast, the presence of meconium-stained amniotic liquor (AOR = 0.10; 95% CI (0.01, 0.75)) and history of stillbirth (AOR = 0.07; 95% CI (0.02, 0.53)) reducing the chance of success of the trial. Conclusion: Past obstetric history, such as stillbirth, history of labor trial after primary cesarean section, and prior vaginal birth, were significant predictors for achieving vaginal birth after cesarean section. Antenatal care visit, and partograph follow-up were the current obstetric characteristics positively associated with the trial of labor.

Effect of Birth Weight on Adverse Obstetric Outcomes in Vaginal Birth After Cesarean Delivery

2010 ◽  
Vol 115 (2, Part 1) ◽  
pp. 338-343 ◽  
Author(s):  
Nicole Jastrow ◽  
Stéphanie Roberge ◽  
Robert J. Gauthier ◽  
Liny Laroche ◽  
Louise Duperron ◽  
...  
Keyword(s):  
Birth Weight ◽  
Cesarean Delivery ◽  
Vaginal Birth ◽  
Obstetric Outcomes ◽  
Vaginal Birth After Cesarean

scholarly journals White’s Classification of Maternal Diabetes and Vaginal Birth After Cesarean Delivery Success in Women Undergoing a Trial of Labor

2010 ◽  
Vol 115 (1) ◽  
pp. 60-64 ◽  
Author(s):  
Clint M. Cormier ◽  
Mark B. Landon ◽  
Yinglei Lai ◽  
Catherine Y. Spong ◽  
Dwight J. Rouse ◽  
...  
Keyword(s):  
Cesarean Delivery ◽  
Maternal Diabetes ◽  
Vaginal Birth ◽  
Vaginal Birth After Cesarean ◽  
Trial Of Labor

Effect of Birth Weight on Adverse Obstetric Outcomes in Vaginal Birth After Cesarean Delivery

2010 ◽  
Vol 115 (5) ◽  
pp. 1089
Author(s):  
Sarah J. Stock ◽  
Jane Walker ◽  
Sarah Cooper ◽  
Jane E. Norman
Keyword(s):  
Birth Weight ◽  
Cesarean Delivery ◽  
Vaginal Birth ◽  
Obstetric Outcomes ◽  
Vaginal Birth After Cesarean

Effect of Birth Weight on Adverse Obstetric Outcomes in Vaginal Birth After Cesarean Delivery

2010 ◽  
Vol 115 (5) ◽  
pp. 1089-1090
Author(s):  
Nicole Jastrow ◽  
Robert J. Gauthier ◽  
Normand Brassard ◽  
Emmanuel Bujold
Keyword(s):  
Birth Weight ◽  
Cesarean Delivery ◽  
Vaginal Birth ◽  
Obstetric Outcomes ◽  
Vaginal Birth After Cesarean

scholarly journals Trial of labor after previous cesarean delivery (TOLAC) and association of BMI and previous vaginal delivery with frequency of VBAC

2016 ◽  
Vol 15 (4) ◽  
pp. 546-550 ◽  
Author(s):  
Huma Tasleem ◽  
Haider Ghazanfar
Keyword(s):  
Cesarean Section ◽  
Success Rate ◽  
Cesarean Delivery ◽  
Vaginal Delivery ◽  
Health Centre ◽  
Tertiary Care ◽  
Vaginal Birth ◽  
Trial Of Labor ◽  
Emergency Cesarean ◽  
Previous Cesarean

Objectives: To determine the frequency of successful Vaginal Birth after One Cesarean Section in our tertiary care institution and to determine the causes of its failure.Material and Methods: This study was conducted in department of Obstetrics and Gynecology of Shifa International Hospital and Shifa Foundation Community Health Centre Islamabad Pakistan from Feb 2011 to Dec 2014. This study included 592 patients who presented in labor room emergency reception of Obs/Gynae department at term with previous one scar having fulfilled the laid down inclusion criteria for VBAC during ante-natal care. The patients were admitted in hospital and were allowed to proceed for spontaneous labor under vigilant monitoring on complications of trial of scar. Immediate emergency cesarean sections were performed, where indicated.Results: Out of 592 patients 70.7% were delivered vaginally after previous one cesarean section and 29.3% had emergency cesarean section. Leading indications for repeat cesarean section was fetal distress, failure to progress and scar tenderness. No maternal and fetal complication occurred in our study. The success rate of Trial of labor after one previous cesarean delivery was lower in obese (64.38%) as compared to non-obese women (82.06%) (p<0.001). Women with previous successful vaginal delivery had a success rate of 88.2% compared with 62.25% in women without such a history (OR 4.4; 95% CI 2.7-7.2 p <0.001).Conclusion: Vaginal birth after one lower segment cesarean section should be encouraged with vigilant monitoring provided no obstetric contra-indication to vaginal birth exists.Bangladesh Journal of Medical Science Vol.15(4) 2016 p.546-550

Effect of Birth Weight on Adverse Obstetric Outcomes in Vaginal Birth After Cesarean Delivery

2011 ◽  
Vol 31 (2) ◽  
pp. 120
Author(s):  
N. Jastrow ◽  
S. Roberge ◽  
R.J. Gauthier ◽  
L. Laroche ◽  
L. Duperron ◽  
...  
Keyword(s):  
Birth Weight ◽  
Cesarean Delivery ◽  
Vaginal Birth ◽  
Obstetric Outcomes ◽  
Vaginal Birth After Cesarean

scholarly journals Validation of a Prediction Model for Vaginal Birth after Cesarean Delivery Reveals Unexpected Success in a Diverse American Population

2017 ◽  
Vol 07 (01) ◽  
pp. e31-e38 ◽  
Author(s):  
Melanie Maykin ◽  
Amanda Mularz ◽  
Lydia Lee ◽  
Stephanie Valderramos
Keyword(s):  
Prediction Model ◽  
Success Rate ◽  
Cesarean Delivery ◽  
Ethnically Diverse ◽  
Vaginal Birth ◽  
Success Rates ◽  
Vaginal Birth After Cesarean ◽  
Maternal Fetal Medicine ◽  
Trial Of Labor ◽  
Network Prediction

Objective To investigate the validity of a prediction model for success of vaginal birth after cesarean delivery (VBAC) in an ethnically diverse population. Methods We performed a retrospective cohort study of women admitted at a single academic institution for a trial of labor after cesarean from May 2007 to January 2015. Individual predicted success rates were calculated using the Maternal–Fetal Medicine Units Network prediction model. Participants were stratified into three probability-of-success groups: low (<35%), moderate (35–65%), and high (>65%). The actual versus predicted success rates were compared. Results In total, 568 women met inclusion criteria. Successful VBAC occurred in 402 (71%), compared with a predicted success rate of 66% (p = 0.016). Actual VBAC success rates were higher than predicted by the model in the low (57 vs. 29%; p < 0.001) and moderate (61 vs. 52%; p = 0.003) groups. In the high probability group, the observed and predicted VBAC rates were the same (79%). Conclusion When the predicted success rate was above 65%, the model was highly accurate. In contrast, for women with predicted success rates <35%, actual VBAC rates were nearly twofold higher in our population, suggesting that they should not be discouraged by a low prediction score.

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