title: [Indicators for successful vaginal delivery after cesarean section: a proposal of a predictive score].
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.
authors.affiliation: Clinique Universitaire de Gynécologie obstétrique de l'Hôpital Mohamed TLATLI de Nabeul, Tunisie.
authors.forename: Jamel
authors.initials: J
authors.lastname: Kraiem
authors.forename: Youssef
authors.initials: Y
authors.lastname: Ben Brahim
authors.forename: Kaïs
authors.initials: K
authors.lastname: Chaabane
authors.forename: Naouel
authors.initials: N
authors.lastname: Sarraj
authors.forename: Narjess
authors.initials: N
authors.lastname: Chiha
authors.forename: Abdelaziz
authors.initials: A
authors.lastname: Falfoul
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D009017:Morbidity; D010298:Parity; D011237:Predictive Value of Tests; D011247:Pregnancy; D011256:Pregnancy Outcome; D011379:Prognosis; D012189:Retrospective Studies; D012307:Risk Factors; D014219:Trial of Labor; D014597:Uterine Rupture / Q000209:etiology*; D016064:Vaginal Birth after Cesarean