Maternal variables that were considered were the following: age, ethnicity, parity, mode of conception (natural or with assisted reproduction technology, ART), pre-pregnancy and term body mass index (BMI), indication for previous CS, indication for labor induction, gestational age at CRB insertion, amniorexis after CRB removal, oxytocin induction, oxytocin augmentation, epidural analgesia, mode of delivery, indication for CS or operative vaginal delivery, and presence of maternal complications. We also considered a composite adverse maternal outcome (CAMO), defined as the presence of one or more of the following major complications: post-partum hemorrhage (blood loss > 1000 mL), uterine rupture, need for laparotomy, need for hysterectomy, post-partum infection, and need for blood transfusion.
Fetal variables considered were the following: birthweight, incidence of pathological fetal heart rate (FHR) tracing during labor according to FIGO classification [14 (link)], Apgar score at 1 and 5 min, umbilical artery pH, and admission to neonatal intensive care unit (NICU). We also considered a composite adverse fetal outcome (CAFO), including major fetal complications.
The primary outcome of the study was the VBAC rate; secondary outcomes were the rates of pathological FHR tracing, Apgar score < 7 at 5 min, arterial pH < 7.1, NICU admission.
Free full text: Click here