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Validation of the close-to-delivery prediction model for vaginal birth after cesarean delivery in a Middle Eastern cohort.
- Source :
-
International Journal of Gynecology & Obstetrics . Jul2016, Vol. 134 Issue 1, p75-78. 4p. - Publication Year :
- 2016
-
Abstract
- <bold>Objective: </bold>To validate a prediction model for vaginal birth after cesarean (VBAC) that incorporates variables available at admission for delivery among Middle Eastern women.<bold>Methods: </bold>The present prospective cohort study enrolled women at 37weeks of pregnancy or more with cephalic presentation who were willing to attempt a trial of labor (TOL) after a single prior low transverse cesarean delivery at Al-Jahra Hospital, Kuwait, between June 2013 and June 2014. The predicted success rate of VBAC determined via the close-to-delivery prediction model of Grobman et al. was compared between participants whose TOL was and was not successful.<bold>Results: </bold>Among 203 enrolled women, 140 (69.0%) had successful VBAC. The predicted VBAC success rate was higher among women with successful TOL (82.4%±13.1%) than among those with failed TOL (67.7%±18.3%; P<0.001). There was a high positive correlation between actual and predicted success rates. For deciles of predicted success rate increasing from >30%-40% to >90%-100%, the actual success rate was 20%, 30.7%, 38.5%, 59.1%, 71.4%, 76%, and 84.5%, respectively (r=0.98, P=0.013).<bold>Conclusion: </bold>The close-to-delivery prediction model was found to be applicable to Middle Eastern women and might predict VBAC success rates, thereby decreasing morbidities associated with failed TOL. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 00207292
- Volume :
- 134
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- International Journal of Gynecology & Obstetrics
- Publication Type :
- Academic Journal
- Accession number :
- 116246523
- Full Text :
- https://doi.org/10.1016/j.ijgo.2015.11.021