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Ultrasound examination at term for predicting the outcome of delivery in women with a previous cesarean section

Content Provider	Scilit
Author	Comas, Montse Cochs, Belén Martí, Laia Ruiz, Raquel Maireles, Sònia Costa, Jordi Canet, Yolanda
Copyright Year	2016
Description	To evaluate if ultrasound variables at term are associated with the mode of delivery in women with previous cesarean section (PCS). This was a prospective study of singleton pregnant women who planned a trial of vaginal birth after cesarean delivery. Cervical length, posterior cervical angle, head-perineum distance, and estimated fetal weight were measured at 37-39 weeks of gestation. One hundred forty-four pregnancies were examined and vaginal delivery was achieved in 98 women (73%). Logistic regression analysis identified cervical length, head-perineum distance, age, previous vaginal delivery, previous cesarean for dystocia, and Bishop score as predictors of vaginal delivery. Combining ultrasound and clinical parameters, two models for risk scoring that differ in the variable Bishop score or cervical length were constructed. The AUC of these models was 0.867 and 0.855, respectively. In women with a PCS, measurement of cervical length and head-perineum distance at term is associated with the mode of delivery. A combination of clinical and sonographic parameters at term can predict the likelihood of vaginal delivery.
Related Links	http://www.tandfonline.com/doi/pdf/10.3109/14767058.2016.1149566
Ending Page	3874
Page Count	5
Starting Page	3870
ISSN	14767058
e-ISSN	14764954
DOI	10.3109/14767058.2016.1149566
Journal	The Journal of Maternal-Fetal & Neonatal Medicine
Issue Number	23
Volume Number	29
Language	English
Publisher	Informa UK Limited
Publisher Date	2016-03-03
Access Restriction	Open
Subject Keyword	Journal: The Journal of Maternal-fetal & Neonatal Medicine Obstetrics and Gynecology Cervical Length Previous Cesarean Section Ultrasound Vaginal Delivery
Content Type	Text
Resource Type	Article
Subject	Pediatrics, Perinatology and Child Health Obstetrics and Gynecology

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