Predicting successful vaginal birth after Cesarean section using a model based on Cesarean scar features examined by transvaginal sonography

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Predicting successful vaginal birth after Cesarean section using a model based on Cesarean scar features examined by transvaginal sonography.

OBJECTIVE To develop a model to predict the success of a trial of vaginal birth after Cesarean section (VBAC) based on sonographic measurements of Cesarean section (CS) scar features, demographic variables and previous obstetric history. METHODS We used transvaginal sonography (TVS) to examine the CS scar of 320 consecutive pregnant women. TVS was carried out at 11-13, 19-21 and 34-36 weeks' ...

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Predicting vaginal birth after cesarean section: a cohort study.

OBJECTIVE To develop a model to predict vaginal birth after cesarean (VBAC) in our population and to compare the accuracy of this model to the accuracy of a previously published widely used model. MATERIALS AND METHODS Women attempting trial of labor after cesarean delivery (TOLAC) at our institution from January 1, 2000 through May 30, 2010 were evaluated for inclusion. Demographic and clini...

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Predicting Cesarean Section and Uterine Rupture among Women Attempting Vaginal Birth after Prior Cesarean Section

BACKGROUND There is currently no validated method for antepartum prediction of the risk of failed vaginal birth after cesarean section and no information on the relationship between the risk of emergency cesarean delivery and the risk of uterine rupture. METHODS AND FINDINGS We linked a national maternity hospital discharge database and a national registry of perinatal deaths. We studied 23,2...

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Vaginal birth after cesarean section: trial of labor or repeat cesarean section? A decision analysis.

OBJECTIVE The risk of perinatal death associated with labor after previous cesarean section appears higher than with a repeated cesarean section. On the other hand, repeated cesarean sections are associated with increased maternal morbidity and mortality from placental pathologic conditions (previa or accreta) on subsequent pregnancies. The study was undertaken to analyze the decision for a tri...

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Birth after cesarean section

BACKGROUND The number of incoming expectant women who have previously experienced cesarean section has increased. This work sought to find the frequency and connections between vaginal deliveries, cesarean sections, and iterative cesarean sections from 2004 to 2008. MATERIAL/METHODS In all, 828 women with previous cesarean sections were included. From this group, 8282 vaginal deliveries were ...

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ژورنال

عنوان ژورنال: Ultrasound in Obstetrics & Gynecology

سال: 2013

ISSN: 0960-7692

DOI: 10.1002/uog.12423