ArticleObstetrics and gynecology2015
Validation of a vaginal birth after cesarean delivery prediction model in women with two prior cesarean deliveries.
Article in Obstetrics and gynecology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed, 40 citations in OpenAlex.
- A Prognostic Study for the Development of Risk Prediction Model for the Success of Vaginal Birth Following a Cesarean Surgery at Felege Hiwot Comprehensive Specialized Hospital, Northwest Ethiopia.Risk management and healthcare policy · 2023Article
- Trial of labor after two cesarean sections: A retrospective case-control study.The journal of obstetrics and gynaecology research · 2022Article
- Trial of Labor After Cesarean of Small for Gestational Age Neonates Among Women with No Prior Vaginal Delivery - a Retrospective Study.Reproductive sciences (Thousand Oaks, Calif.) · 2022Article
- Professional ethics, VBAC and COVID-19 pandemic: A challenge to be resolved (Review).Experimental and therapeutic medicine · 2021Review
- Applying a Prediction Model for Vaginal Birth after Cesarean to a Latina Inner-City Population.AJP reports · 2020Article
- VBAC: antenatal predictors of success.Acta bio-medica : Atenei Parmensis · 2019Review
- Gestational Weight Gain during Pregnancy as an Important Factor Influencing a Successful Trial of Labor following Two Previous Cesareans.American journal of perinatology · 2019Article
- Prediction of vaginal birth after cesarean delivery in Chinese parturients.Scientific reports · 2018Article
- Validation of a Prediction Model for Vaginal Birth after Cesarean Delivery Reveals Unexpected Success in a Diverse American Population.AJP reports · 2017Article
- Effect of Entonox on reducing the need for Pethidine and the Relevant Fetal and Maternal Complications for Painless Labor.Electronic physician · 2016Article
- Examining the Impact of the Vaginal Birth After Cesarean Risk Calculator Estimation on Trial of Labor After Cesarean Counseling.MDM policy & practiceArticle
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveTo evaluate whether an existing vaginal birth after cesarean delivery (VBAC) prediction model validated for women with one prior cesarean delivery also accurately predicts the likelihood of VBAC in women with two prior cesarean deliveries.
methodsWe performed a secondary analysis of all women attempting trial of labor after cesarean delivery (TOLAC) with a term singleton pregnancy and two prior cesarean deliveries in the Maternal-Fetal Medicine Units Network (MFMU) Cesarean Registry. Probability of VBAC was calculated for each participant using the MFMU VBAC prediction model. Women were considered to have a recurring indication for cesarean delivery if the indication for either their first or second cesarean delivery was arrest of dilation or descent. A receiver operating characteristic curve was used to assess the classification ability of the model and the predicted likelihood of VBAC success was compared with the actual likelihood using a calibration curve.
resultsAmong 369 women with two prior cesarean deliveries undergoing TOLAC, the actual VBAC rate was 66% (95% confidence interval [CI] 61-71). The mean predicted probability of VBAC was higher among women with a successful TOLAC than those with a failed TOLAC (75% compared with 59%, P<.001). The area under the receiver operating characteristic curve for women with two prior cesarean deliveries was 0.74 (95% CI 0.69-0.80). Within deciles of predicted probability greater than 30%, predicted probabilities were similar to and contained actual probabilities within the 95% CI.
conclusionThe estimates of VBAC success based on the MFMU prediction model are similar to the actual rates observed among women with two prior cesarean deliveries.
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