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VBAC: antenatal predictors of success

To determine antenatal factors that may predict successful vaginal birth after Caesarean section (VBAC), to develop a relevant antenatal scoring system and a nomogram for prediction of vaginal birth after caesarean delivery. A non recurring indication for previous Caesarean section (CS), such as bre...

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Autores principales: Trojano, Giuseppe, Damiani, Gianluca Raffaello, Olivieri, Claudiana, Villa, Mario, Malvasi, Antonio, Alfonso, Raffaello, Loverro, Matteo, Cicinelli, Ettore
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mattioli 1885 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7233729/
https://www.ncbi.nlm.nih.gov/pubmed/31580319
http://dx.doi.org/10.23750/abm.v90i3.7623
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author Trojano, Giuseppe
Damiani, Gianluca Raffaello
Olivieri, Claudiana
Villa, Mario
Malvasi, Antonio
Alfonso, Raffaello
Loverro, Matteo
Cicinelli, Ettore
author_facet Trojano, Giuseppe
Damiani, Gianluca Raffaello
Olivieri, Claudiana
Villa, Mario
Malvasi, Antonio
Alfonso, Raffaello
Loverro, Matteo
Cicinelli, Ettore
author_sort Trojano, Giuseppe
collection PubMed
description To determine antenatal factors that may predict successful vaginal birth after Caesarean section (VBAC), to develop a relevant antenatal scoring system and a nomogram for prediction of vaginal birth after caesarean delivery. A non recurring indication for previous Caesarean section (CS), such as breech presentation or foetal distress, is associated with a much higher successful VBAC rate than recurrent indications, such as cephalopelvic disproportion (CPD). Prior vaginal deliveries are excellent prognostic indicators of successful VBAC, especially if the vaginal delivery follows the prior CS. A low vertical uterine incision does not seem to adversely affect VBAC success rates as compared to a low transverse incision. Maternal obesity and diabetes mellitus adversely affect VBAC outcomes. Foetal macrosomia does not appear to be a contraindication to VBAC, as success rates exceeding 50% are achieved and uterine rupture rates are not increased. An inter-pregnancy interval of <24 months is not associated with a decreased success of VBAC. Success rates decrease when interval increases. Twin gestation does not preclude VBAC. Post-dates pregnancies may deliver successfully by VBAC in greater than two-thirds of cases. There are few absolute contraindications to attempted VBAC. Attempted VBAC will be successful in the majority of attempted cases. (www.actabiomedica.it)
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spelling pubmed-72337292020-05-19 VBAC: antenatal predictors of success Trojano, Giuseppe Damiani, Gianluca Raffaello Olivieri, Claudiana Villa, Mario Malvasi, Antonio Alfonso, Raffaello Loverro, Matteo Cicinelli, Ettore Acta Biomed Focus on To determine antenatal factors that may predict successful vaginal birth after Caesarean section (VBAC), to develop a relevant antenatal scoring system and a nomogram for prediction of vaginal birth after caesarean delivery. A non recurring indication for previous Caesarean section (CS), such as breech presentation or foetal distress, is associated with a much higher successful VBAC rate than recurrent indications, such as cephalopelvic disproportion (CPD). Prior vaginal deliveries are excellent prognostic indicators of successful VBAC, especially if the vaginal delivery follows the prior CS. A low vertical uterine incision does not seem to adversely affect VBAC success rates as compared to a low transverse incision. Maternal obesity and diabetes mellitus adversely affect VBAC outcomes. Foetal macrosomia does not appear to be a contraindication to VBAC, as success rates exceeding 50% are achieved and uterine rupture rates are not increased. An inter-pregnancy interval of <24 months is not associated with a decreased success of VBAC. Success rates decrease when interval increases. Twin gestation does not preclude VBAC. Post-dates pregnancies may deliver successfully by VBAC in greater than two-thirds of cases. There are few absolute contraindications to attempted VBAC. Attempted VBAC will be successful in the majority of attempted cases. (www.actabiomedica.it) Mattioli 1885 2019 2019-09-06 /pmc/articles/PMC7233729/ /pubmed/31580319 http://dx.doi.org/10.23750/abm.v90i3.7623 Text en Copyright: © 2019 ACTA BIO MEDICA SOCIETY OF MEDICINE AND NATURAL SCIENCES OF PARMA http://creativecommons.org/licenses/by-nc-sa/4.0 This work is licensed under a Creative Commons Attribution 4.0 International License
spellingShingle Focus on
Trojano, Giuseppe
Damiani, Gianluca Raffaello
Olivieri, Claudiana
Villa, Mario
Malvasi, Antonio
Alfonso, Raffaello
Loverro, Matteo
Cicinelli, Ettore
VBAC: antenatal predictors of success
title VBAC: antenatal predictors of success
title_full VBAC: antenatal predictors of success
title_fullStr VBAC: antenatal predictors of success
title_full_unstemmed VBAC: antenatal predictors of success
title_short VBAC: antenatal predictors of success
title_sort vbac: antenatal predictors of success
topic Focus on
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7233729/
https://www.ncbi.nlm.nih.gov/pubmed/31580319
http://dx.doi.org/10.23750/abm.v90i3.7623
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