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PREDICTIVE SCORE FOR SUCCESSFUL VBAC (VAGINAL

BIRTH AFTER CESAREAN SECTION)

D. Weinstein, V. Tanos
Department of Obstetrics and Gynecology, Hadassah
University Hospital, Jerusalem, Israel.

Cesarean section (C.S.) rate in 1990 in the

USA is estimated to be 30%. Among the different
indications for this high rate, the repeat C.S.
counts for 30% (1). Increasing vaginal birth a f t e r
previous C.S.is one of the most effective ways to
reduce the total number of C.S.

The success rate in planned VBAC depends on

several criteria: previous indication for C.S.,
vaginal delivery prior to C.S. and others.
Although no controlled trials have been done
regarding this subject, many prospective and
retrospective studies were been published,
including ours ( 2 ) . Based on 25000 women with
trial of labor from different parts of the world,
we are suggesting a predictive score for
successful VBAC, taking into consideration the
different parameters concerning present pregnancy
and past C.S.

Using such a score w i l l enable to anticipate

and predict the success chances for the individual
patient, to evaluate the risks and benefits of
VBAC and to increase the possibility of a better
outcome in t r i a l of labor to mother and child.

References
1. Nageotte, M: How can we lower the C/S
rate. Contem Ob/GYN 35, 63, 1990.

2. Mor-Yosef, S., Zeevi, D. et al: Vaginal

delivery following one previous cesarean
birth.-Nation Wide survey. Asia-Oceania
J. Obstet Gynecol 16, 33, 1990.

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Authenticated J. Perinat. Med. 18 (1990) Suppl. I
Download Date | 7/10/15 11:43 AM