An integrated model with classification criteria to predict vaginal delivery success after cesarean section.
Background: Cesarean delivery (CD) is the most frequently performed surgical procedure worldwide. Trial of labor after cesarean (TOLAC) is associated with an increase in perinatal complications related to uterine rupture. However, in general, vaginal birth after cesarean (VBAC) is considered safe an...
| Publicado en: | Journal of Maternal-Fetal & Neonatal Medicine Vol. 33; no. 2; pp. 236 - 243 |
|---|---|
| Autores principales: | , , , , |
| Formato: | Journal Article |
| Publicado: |
Taylor & Francis Ltd
Jan2020
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=139742366&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 139742366 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14767058 O6A jtl: Journal of Maternal-Fetal & Neonatal Medicine issn: 14767058 maglogo: Y pubinfo: dt: Jan2020 vid: 33 iid: 2 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 139742366 139742366 NLM29886811 10.1080/14767058.2018.1488166 NLM29886811 139742366 ppf: 236 ppct: 7 formats: tig: atl: An integrated model with classification criteria to predict vaginal delivery success after cesarean section. aug: au: Manzanares, Sebastian Ruiz-Duran, Susana Pinto, Andrea Pineda, Alicia Puertas, Alberto affil: Department of Obstetrics & Gynaecology, Virgen de las Nieves University Hospital, Granada, Spain sug: subj: Decision Trees Vaginal Birth After Cesarean Statistics and Numerical Data Cesarean Section, Repeat Statistics and Numerical Data Labor Risk Assessment Birth Weight Adult Pregnancy Retrospective Design Female Infant, Newborn Questionnaires Adult: 19-44 years Infant, Newborn: birth-1 month Female ab: Background: Cesarean delivery (CD) is the most frequently performed surgical procedure worldwide. Trial of labor after cesarean (TOLAC) is associated with an increase in perinatal complications related to uterine rupture. However, in general, vaginal birth after cesarean (VBAC) is considered safe and women have less morbidity than those who undergo an elective repeat CD.Objective: To develop an integrated model with the best performance criteria for predicting vaginal delivery success after CD.Study design: Retrospective observational study including 2367 women who underwent a TOLAC. A predictive model using classification and regression tree modeling was constructed to predict vaginal delivery using maternal demographic, medical history, and labor predictors.Results: Vaginal delivery was best predicted by spontaneous onset of labor, estimated fetal weight <3775 g, maternal body mass index <25, previous CD as an elective or for fetal distress reasons, and interdelivery interval <2290 days. The algorithm showed a sensitivity of 75%, a specificity of 53%, and the area under the curve was 0.69.Conclusions: The classification and regression tree algorithm can be used to develop a predictive model for the success of TOLAC. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|