Key result
A trial of labor after cesarean resulted in an 86.5% success rate for vaginal birth among pregnant women with a good prediction score of ≥8.
Why the study?
The study was conducted to determine the success rate for trial of labor after cesarean section in women with a good prediction score.
Does a prediction score of ≥8 predict success of trial of labor after cesarean section in pregnant women?
Cross-Sectional (n=141)
No
Does a prediction score of ≥8 predict success of trial of labor after cesarean section in pregnant women?
A prediction score of ≥8 is associated with an 86.5% success rate for vaginal birth after cesarean section.
Supports selective TOLAC counseling with score ≥8; hypothesis-generating pending prospective validation.
Objective: To determine the success rate for trial of labor after cesarean section in women with good prediction score. Study Design: Cross sectional (analytical) study. Place and Duration of Study: Department of Obstetrics and Gynecology, PEMH Rawalpindi, from Dec 2017 to Jun 2018. Methodology: A total of 141 women with previous delivery by caesarean section, planned for trial of labor with good prediction score of ≥8 were included in the study. All patients were then allowed to labor spontaneously. Data was collected for success rate after trial of labor Results: Age range in this study was from 18-35 years with mean age of 29.234 ± 2.13 years, mean gestational age 38.531 ± 0.99 weeks, mean weight 63.290 ± 9.97 Kg, mean height 1.532 ± 0.08 meter and mean BMI was 27.097 ± 4.59 Kg/m2. Success rate was seen in 86.5% patients. Conclusion: In conclusion, a prediction model was proposed that can provide useful insights to envisage VBAC success rate for the pregnant women having history of caesarean delivery at the time of admission.
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Baqai et al. (2022) conducted a cross-sectional in Previous delivery by caesarean section planned for trial of labor (n=141). Trial of labor after cesarean (TOLAC) with good prediction score (≥8) was evaluated on Success rate of trial of labor (vaginal birth after cesarean). A trial of labor after cesarean resulted in an 86.5% success rate for vaginal birth among pregnant women with a good prediction score of ≥8.
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