[Indicators for successful vaginal delivery after cesarean section: a proposal of a predictive score]
Tunisie Medicale [La]. 2006; 84 (1): 16-20
in French
| IMEMR
| ID: emr-81413
ABSTRACT
The purpose of this study is to determine predictive factors of successful vaginal delivery after cesarean section, and to estimate the risks of this trial of labor [TOL]. A retrospective study about 352 women undergoing a TOL after cesarean section was carried out. Different variables stratified by the termination of the TOL were analysed with statistic tests. TOL success rate was 76.1%. Parity >/= 3, prior vaginal delivery following cesarean section, body mass index < 30, fundal height < 34 cm, and low fetal head level at the beginning of labor increased significantly the probability of success. Uterine rupture rate is 1.1%. Failure of TOL was associated with a higher risk of uterine scar dehiscence and rupture, and higher fetal morbidity. A predictive score of successful vaginal delivery after cesarean section is proposed
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Index:
IMEMR (Eastern Mediterranean)
Main subject:
Uterine Rupture
/
Cesarean Section
/
Retrospective Studies
/
Delivery, Obstetric
Limits:
Female
/
Humans
Language:
French
Journal:
Tunisie Med.
Year:
2006
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