Is vaginal birth after cesarean (VBAC) or elective repeat cesarean safer in women with a prior vaginal delivery?

2006 ◽  
Vol 195 (4) ◽  
pp. 1143-1147 ◽  
Author(s):  
Alison G. Cahill ◽  
David M. Stamilio ◽  
Anthony O. Odibo ◽  
Jeffrey F. Peipert ◽  
Sarah J. Ratcliffe ◽  
...  
Keyword(s):  
Vaginal Delivery ◽  
Vaginal Birth ◽  
Vaginal Birth After Cesarean ◽  
Elective Repeat Cesarean

Is vaginal birth after cesarean (VBAC) or elective repeat cesarean safer in woman with a prior vaginal delivery?

2005 ◽  
Vol 193 (6) ◽  
pp. S123
Author(s):  
Alison Cahill ◽  
David M. Stamilio ◽  
Anthony O. Odibo ◽  
Jeffrey Peipert ◽  
Erika J. Stevens ◽  
...  
Keyword(s):  
Vaginal Delivery ◽  
Vaginal Birth ◽  
Vaginal Birth After Cesarean ◽  
Elective Repeat Cesarean

Predictors of successful vaginal birth after cesarean without an epidural among women with no prior vaginal delivery

Birth ◽  
2021 ◽  
Author(s):  
Gabriel Levin ◽  
Abraham Tsur ◽  
Lee Tenenbaum ◽  
Nizan Mor ◽  
Michal Zamir ◽  
...  
Keyword(s):  
Vaginal Delivery ◽  
Vaginal Birth ◽  
Vaginal Birth After Cesarean

scholarly journals Establishment of an antepartum predictive scoring model to identify candidates for vaginal birth after cesarean

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Qiuping Liao ◽  
Jinying Luo ◽  
Lianghui Zheng ◽  
Qing Han ◽  
Zhaodong Liu ◽  
...  
Keyword(s):  
Confidence Interval ◽  
Vaginal Delivery ◽  
Area Under The Curve ◽  
Vaginal Birth ◽  
Vaginal Birth After Cesarean ◽  
Scoring Model ◽  
Puerperal Infection ◽  
Kappa Value ◽  
Gestational Age At Delivery ◽  
Adverse Pregnancy

Abstract Background Evidence-based medicine has shown that successful vaginal birth after cesarean (VBAC) is associated with fewer complications than an elective repeat cesarean. Although spontaneous vaginal births and reductions in cesarean delivery (CD) rates have been advocated, the risk factors for VBAC complications remain unclear and failed trials of labor (TOL) can lead to adverse pregnancy outcomes. Methods To construct an antepartum predictive scoring model for VBAC. Retrospective analysis of charts from 1062 women who underwent TOL at no less than 28 gestational weeks with vertex singletons and no more than one prior CD. Results We constructed our scoring model based on the following variables: maternal age, previous vaginal delivery, interdelivery interval (time between prior cesarean and the following delivery), presence of prior cesarean TOL, dystocia as prior CD indication, intertuberous diameter, maternal predelivery body mass index, gestational age at delivery, estimated fetal weight, and hypertensive disorders. Previous vaginal delivery was the most influential variable. The nomogram showed an area under the curve of 77.7% (95% confidence interval, 73.8–81.5%; sensitivity, 78%; specificity, 70%; cut-off, 13 points). The Kappa value to judge the consistency of the results between the predictive model and the actual results was 0.71(95% confidence interval 0.65–0.77) indicating strong consistency. We used the cut-off to divide the VBAC women into two groups according to the success of the TOL. The maternal and neonatal outcomes such as labor time, number of deliveries by midwives, postpartum hemorrhage, uterine rupture, neonatal asphyxia, puerperal infection were significantly different between the two groups. Conclusions Our predictive scoring model incorporates easily ascertainable variables and can be used to personalize antepartum counselling for successful TOLs after cesareans.

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