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  • Title: [Indicators for successful vaginal delivery after cesarean section: a proposal of a predictive score].
    Author: Kraiem J, Ben Brahim Y, Chaabane K, Sarraj N, Chiha N, Falfoul A.
    Journal: Tunis Med; 2006 Jan; 84(1):16-20. PubMed ID: 16634207.
    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 > or = 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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