title: Predicting vaginal birth after cesarean section: a cohort study.
abstract: OBJECTIVE
  To develop a model to predict vaginal birth after cesarean (VBAC) in our population and to compare the accuracy of this model to the accuracy of a previously published widely used model.
  
  
  METHODS
  Women attempting trial of labor after cesarean delivery (TOLAC) at our institution from January 1, 2000 through May 30, 2010 were evaluated for inclusion. Demographic and clinical data were collected. Associations of these characteristics with VBAC were evaluated with univariate and multivariate logistic regression. We critically compared the accuracy of the resulting model to a previously published widely utilized model for predicting VBAC.
  
  
  RESULTS
  A total of 2,635 deliveries with at least 1 prior cesarean delivery were identified. TOLAC was attempted in 599 (22.7%) and resulted in 456 VBACs (76.0%) and 143 repeat cesareans (24.0%). VBAC success was independently associated with age <30 years, a body mass index <30, prior vaginal delivery, prior VBAC, and absence of a recurrent indication for cesarean. This model provided a range of successful probability of VBAC (38-98%) with an area under the receiver operating characteristic curve of 0.723.
  
  
  CONCLUSIONS
  This study provides an accurate and simple model that can be utilized to guide decisions related to TOLAC.
authors: Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, Minn., USA.
authors: Jennifer A
authors: JA
authors: Tessmer-Tuck
authors: Sherif A
authors: SA
authors: El-Nashar
authors: Adrianne R
authors: AR
authors: Racek
authors: Christine M
authors: CM
authors: Lohse
authors: Abimbola O
authors: AO
authors: Famuyide
authors: Myra J
authors: MJ
authors: Wick
mesh_terms: D000293:Adolescent; D000328:Adult; D017604:Cesarean Section, Repeat / Q000706:statistics & numerical data*; D015331:Cohort Studies; D005260:Female; D006801:Humans; D016015:Logistic Models; D008875:Middle Aged; D015233:Models, Statistical; D049451:Nomograms; D011247:Pregnancy; D012372:ROC Curve; D014219:Trial of Labor; D016064:Vaginal Birth after Cesarean / Q000706:statistics & numerical data*; D055815:Young Adult