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

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

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

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.

Vaginal birth after cesarean in women with no prior vaginal delivery carrying a large for gestational age baby

Birth ◽  
2021 ◽  
Author(s):  
Gabriel Levin ◽  
Joshua I. Rosenbloom ◽  
Daniel Shai ◽  
Simcha Yagel ◽  
Yoav Yinon ◽  
...  
Keyword(s):  
Vaginal Delivery ◽  
Gestational Age ◽  
Vaginal Birth ◽  
Large For Gestational Age ◽  
Vaginal Birth After Cesarean

scholarly journals Vaginal birth after cesarean

2019 ◽  
Vol 8 (7) ◽  
pp. 2832
Author(s):  
Shilpa Gupta ◽  
Hina Ganatra
Keyword(s):  
Cesarean Section ◽  
Vaginal Delivery ◽  
Neonatal Morbidity ◽  
Active Phase ◽  
Vaginal Birth ◽  
Morbidity Rate ◽  
Alternative Measure ◽  
Vaginal Birth After Cesarean ◽  
History Of ◽  
Repeat Cesarean Section

Background: A heightened awareness must be present among the clinicians while taking the decision to perform the first cesarean section, as it decides the future obstetric career of the women. Because of the rise in cesarean section rate in recent decades, the question of how to manage the subsequent deliveries becomes important. Vaginal birth after cesarean (VBAC) has long been proposed as an alternative measure to reduce repeat cesarean rate. Our present study aims to assess the predictive factors of successful VBAC and study the risks and benefits involved.Methods: A prospective observational study was conducted to assess the success of VBAC and its outcome in GMERS Medical College and Hospital, Ahmedabad. A total of 100 pregnant women with history of previous one cesarean section who fulfilled the criteria for vaginal delivery were recruited for study and the outcome was analyzed.Results: The success rate of VBAC was 58% while failed TOLAC which ended up in emergency repeat cesarean section was 42%. Vaginal delivery either before or after the history of previous cesarean section, neonatal birth weight between 2.5-3kg, and admission during active phase of  labour were associated with successful VBAC. There were 2 cases of partial scar rupture diagnosed peroperatively. The commonest indication of repeat cesarean section was non progress of labour (45.2%) followed by fetal distress (16.7%). The neonatal morbidity rate was similar in both groups due to limited prolonged unsuccessful trial in our study. There was no maternal and neonatal mortality.Conclusions: To reduce the escalating rate of total cesarean section worldwide, VBAC is an alternative option which should be encouraged in carefully selected patients. However, it should be carried out in a well equipped institute with close fetal monitoring and availability of blood and trained personnel. Thus “once a cesarean section, always a hospital delivery” and not, “once a cesarean section, always a cesarean section”.

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