Predicting Factors for Trial of Labor in Women Attempting Vaginal Birth after Cesarean Delivery.
- Author:
Moon Kyoung CHO
1
;
Yoon Ha KIM
;
Sang Hyun PARK
;
Seok Mo KIM
;
Tae Bok SONG
Author Information
1. Department of Obstetrics and Gynecology, College of Medicine, Chonnam National University, Gwangju, Korea.
- Publication Type:Original Article
- Keywords:
Predicting factors;
Trials of labor
- MeSH:
Birth Weight;
Cesarean Section;
Female;
Gestational Age;
Gravitation;
Humans;
Jeollanam-do;
Pregnancy;
Retrospective Studies;
Trial of Labor*;
Vaginal Birth after Cesarean*;
Weight Gain
- From:Korean Journal of Obstetrics and Gynecology
2003;46(7):1288-1293
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To determine predicting factors associated with successful trials of labor in women attending vaginal birth after cesarean delivery. METHODS: A retrospective chart review from January 1998 through December 2001 of 330 patients (sucess group n=282, failure group n=48) undergoing trials of labor after cesarean delivery at Chonnam National University Hospital. Data were tested for statistical significance with the Student's t-test and the Chi-square test. RESULTS: The following characteristics were found to be statistically significant positive prognostic indicators: lower gestational age (274.0+/-20.6 vs. 281.1+/-7.9 days, p<0.01); higher gravity (1.3+/-0.5 vs. 1.0+/-0.2, p<0.01); higher maternal weight gain during pregnancy (3238+/-543 vs. 3458+/-497 gram, p<0.01); lower birth weight (7.8+/-2.7 vs. 6.6+/-2.5, p<0.01); history of prior trial of labor success (0.17 vs. 0.02, p<0.01), lower birth weight at prior cesarean section (3257+/-460 vs. 3838+/-411 gram, p<0.05). CONCLUSIONS: The characteristics associated with successful trials of labor after cesarean delivery-Bishop score at admission, history of prior vaginal delivery will provide information that may be helpful to the physician and the patient. Trial of labor (probability)=e(13.48+0.14Bishop score+1.06vaginal delivery history-0.001birth weight-0.259gestational age)/1+e(13.48+0.14Bishop score+1.06vaginal delivery history-0.001birth weight-0.259gestational age)
