A comparative study of three different forecasting methods for trial of labor after cesarean section

Background: One of the primary reasons for an increase in cesarean sections is obstetricians’ uncertainty about labor trial safety following a previous cesarean section. The success rate of vaginal birth after cesarean section with a single cesarean scar is greater than 50%. However, to the best of our knowledge, there is a scarcity of information on the determinants of vaginal birth after cesarean delivery in the study area. As a result, the purpose of this study was to identify predictors of successful vaginal birth after cesarean delivery in public hospitals in Eastern Ethiopia. Methods: A nested case–control study design was used within a prospective follow-up study conducted from June to October 2020. A total of 220 women who tried vaginal birth after cesarean delivery was included, 110 cases and 110 controls. Cases were women with one previous cesarean section scar and successfully proceed with vaginal delivery. The controls were those with an earlier cesarean section scar and delivered by emergency cesarean section after trial of labor. A pre-tested structured questionnaire was used to gather the information. Multiple logistic regression is used to identify the determinants for the success of vaginal birth after cesarean section; odds ratio with its 95% CI are used to report the findings. Results: We found that living in rural areas (AOR = 2.28; 95% CI (1.85, 12.41)), having a current antenatal care follow-up (AOR = 3.20; 95% CI (1.15, 8.87)) and partograph monitoring of labor (AOR = 4.26; 95% CI (1.90, 9.57)) had a positive association with successful vaginal birth after cesarean section. In contrast, the presence of meconium-stained amniotic liquor (AOR = 0.10; 95% CI (0.01, 0.75)) and history of stillbirth (AOR = 0.07; 95% CI (0.02, 0.53)) reducing the chance of success of the trial. Conclusion: Past obstetric history, such as stillbirth, history of labor trial after primary cesarean section, and prior vaginal birth, were significant predictors for achieving vaginal birth after cesarean section. Antenatal care visit, and partograph follow-up were the current obstetric characteristics positively associated with the trial of labor.

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A comparative study of univariate forecasting methods for predicting tuberculosis incidence on human

2009 IEEE Student Conference on Research and Development (SCOReD) ◽

10.1109/scored.2009.5443155 ◽

2009 ◽

Cited By ~ 1

Author(s):

Adhistya Erna Permanasari ◽

Dayang Rohaya Awang Rambli ◽

Dhanapal Durai Dominic

Keyword(s):

Comparative Study ◽

Tuberculosis Incidence ◽

Forecasting Methods

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A comparative study on routine cervical dilatation at elective cesarean section

African Journal of Medical and Health Sciences ◽

10.4103/2384-5589.134896 ◽

2013 ◽

Vol 12 (2) ◽

pp. 76

Author(s):

MichaelChudi Ezeanochie ◽

BiodunNelson Olagbuji ◽

Abieyuwa Osemwenkha

Keyword(s):

Cesarean Section ◽

Comparative Study ◽

Cervical Dilatation ◽

Elective Cesarean Section ◽

Elective Cesarean

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Intrauterine Device Insertion during Cesarean Section in Women without Prenatal Contraception Counseling: Lessons from a Country with High Cesarean Rates

Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics ◽

10.1055/s-0039-1693677 ◽

2019 ◽

Vol 41 (08) ◽

pp. 485-492

Author(s):

Alberto Moreno Zaconeta ◽

Ana Carolina Oliveira ◽

Flavielly Souza Estrela ◽

Thalia Maia Vasconcelos ◽

Paulo Sergio França ◽

...

Keyword(s):

Cohort Study ◽

Cesarean Section ◽

Removal Rate ◽

Intrauterine Device ◽

Uterine Perforation ◽

Cesarean Sections ◽

Trial Of Labor ◽

The Moment ◽

Contraception Counseling

Objective The moment of admission for delivery may be inappropriate for offering an intrauterine device (IUD) to women without prenatal contraception counseling. However, in countries with high cesarean rates and deficient prenatal contraception counseling, this strategy may reduce unexpected pregnancies and repeated cesarean sections. Methods This was a prospective cohort study involving 100 women without prenatal contraception counseling. Postplacental IUD was offered after admission for delivery and placed during cesarean. The rates of IUD continuation, uterine perforation, and endometritis were assessed at 6 weeks and 6 months, and the proportion of women continuing with IUD at 6 months was assessed with respect to the number of previous cesareans. Results Ninety-seven women completed the follow-up. The rate of IUD continuation was 91% at 6 weeks and 83.5% at 6 months. The expulsion/removal rate in the first 6 weeks was not different from that between 6 weeks and 6 months (9 vs 9.1%, respectively). There were 2 cases of endometritis (2.1%), and no case of uterine perforation. Among 81 women continuing with intrauterine device after 6-months, 31% had undergone only the cesarean section in which the IUD was inserted, 44% had undergone 2 and 25% had undergone 3 or more cesarean sections. Conclusion Two thirds of the women who continued with IUD at 6 months had undergone 2 or more cesarean sections. Since offering trial of labor is unusual after 2 or more previous cesareans, we believe that offering IUD after admission for delivery may reduce the risk of repeated cesarean sections and its inherent risks.

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