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Korean Journal of Obstetrics & Gynecology 1999;42(10):2281-2286.
Published online January 1, 2001.
A Clinical Study of Comparison with Success Group and Failure Group in Vaginal Birth after Cesarean Delivery.
Hyun Soo Choi, Sang Wook Yi, Young Seung Oh, Kyu Seop Jin, Bo Yon Lee, Seun Kyung Lee, Chu Yeop Huh, Seung Bo Kim
Abstract
OBJECTIVES
Vaginal birth or trial of labor after previous cesarean section has become one of the most remarkable changes in obstetric practice. The safety and efficacy of a trial of labor and vaginal birth after previous cesarean are well documented. The purpose of this report is to predict the likelihood of vaginal birth in patients undergoing a trial of labor after previous cesarean delivery using factors known at the time of hospital admission. METHOD: In this retrospective study, 120 women who attempted vaginal birth at Kyung-Hee University Hospital from March 1997 to March 1999. An attempt to identify possible prognostic factors for success of such a trial was made and we evaluated the variables of significant predictive value and the patients' characteristics in the success group and failure group of women who attempted VBAC. RESULT: 87 cases(72.5%) in 120 cases succeeded in VBAC and 33 cases(27.5%) failed. In this comparative groups in VBAC, there was significant difference in CPD index(cephalopelvic disproportion index) and Bishop score, but no significant difference in gestational age, the estimated fetal weight by sonography and newborn birth weight. CONCLUSION: In this study, Bishop score and CPD index and age may be useful and valid predictor of success in VBAC and this information could be particularly valuable. The CPD index may prove most important in determining if a vaginal birth should occur after a cesarean section because it can clearly identify some patients who need a repeat cesarean section.
Key Words: VBAC, Bishop score, CPD index


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