Predicting vaginal birth after cesarean section: A cohort study

Jennifer A. Tessmer-Tuck, Sherif A. El-Nashar, Adrianne R. Racek, Christine M. Lohse, Abimbola O. Famuyide, Myra J Wick

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

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 clinical data were collected. Associations of these characteristics with VBAC were evaluated with univariate and multivariate logistic regression. We critically compared the accuracy of the resulting model to a previously published widely utilized model for predicting VBAC. Results: A total of 2,635 deliveries with at least 1 prior cesarean delivery were identified. TOLAC was attempted in 599 (22.7%) and resulted in 456 VBACs (76.0%) and 143 repeat cesareans (24.0%). VBAC success was independently associated with age

Original languageEnglish (US)
Pages (from-to)121-126
Number of pages6
JournalGynecologic and Obstetric Investigation
Volume77
Issue number2
DOIs
StatePublished - 2014

Fingerprint

Vaginal Birth after Cesarean
Cesarean Section
Cohort Studies
Trial of Labor
Logistic Models
Demography
Population

Keywords

  • Cesarean section
  • Labor
  • Nomogram
  • Obstetrics
  • Trial of labor after cesarean delivery
  • Vaginal birth after cesarean

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Reproductive Medicine
  • Medicine(all)

Cite this

Tessmer-Tuck, J. A., El-Nashar, S. A., Racek, A. R., Lohse, C. M., Famuyide, A. O., & Wick, M. J. (2014). Predicting vaginal birth after cesarean section: A cohort study. Gynecologic and Obstetric Investigation, 77(2), 121-126. https://doi.org/10.1159/000357757

Predicting vaginal birth after cesarean section : A cohort study. / Tessmer-Tuck, Jennifer A.; El-Nashar, Sherif A.; Racek, Adrianne R.; Lohse, Christine M.; Famuyide, Abimbola O.; Wick, Myra J.

In: Gynecologic and Obstetric Investigation, Vol. 77, No. 2, 2014, p. 121-126.

Research output: Contribution to journalArticle

Tessmer-Tuck, JA, El-Nashar, SA, Racek, AR, Lohse, CM, Famuyide, AO & Wick, MJ 2014, 'Predicting vaginal birth after cesarean section: A cohort study', Gynecologic and Obstetric Investigation, vol. 77, no. 2, pp. 121-126. https://doi.org/10.1159/000357757
Tessmer-Tuck, Jennifer A. ; El-Nashar, Sherif A. ; Racek, Adrianne R. ; Lohse, Christine M. ; Famuyide, Abimbola O. ; Wick, Myra J. / Predicting vaginal birth after cesarean section : A cohort study. In: Gynecologic and Obstetric Investigation. 2014 ; Vol. 77, No. 2. pp. 121-126.
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