Development and Validation of Predictive Models for Vaginal Birth After Cesarean Delivery in China

Shilei Bi; Lizi Zhang; Jingsi Chen; Lijun Huang; Shanshan Zeng; Jinping Jia; Suiwen Wen; Yinli Cao; Shaoshuai Wang; Xiaoyan Xu; Feng Ling; Xianlan Zhao; Yangyu Zhao; Qiying Zhu; Hongbo Qi; Lanzhen Zhang; Hongtian Li; Lili Du; Zhijian Wang; Dunjin Chen

doi:10.12659/MSM.927681

03 December 2020 : Clinical Research

Development and Validation of Predictive Models for Vaginal Birth After Cesarean Delivery in China

Shilei Bi^1ACDEF, Lizi Zhang^2ACDEF, Jingsi Chen^134AC, Lijun Huang^1BF, Shanshan Zeng^1BF, Jinping Jia^5B, Suiwen Wen^6B, Yinli Cao^7B, Shaoshuai Wang^8B, Xiaoyan Xu^8B, Feng Ling^8B, Xianlan Zhao^9B, Yangyu Zhao^10B, Qiying Zhu^11B, Hongbo Qi^12B, Lanzhen Zhang^13B, Hongtian Li^14CD, Lili Du^134ACEG*, Zhijian Wang^2AG, Dunjin Chen^134AG

DOI: 10.12659/MSM.927681

Med Sci Monit 2020; 26:e927681

Authors information Article notes Copyright and License information

¹Department of Obstetrics and Gynecology, Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China
²Department of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China
³ Key Laboratory for Major Obstetric Diseases of Guangdong Province, Guangzhou, Guangdong, China
⁴ Key Laboratory of Reproduction and Genetics of Guangdong Higher Education Institutes, Guangzhou, Guangdong, China
⁵Department of Obstetrics and Gynecology, Guangzhou Huadu District Maternal and Child Health Hospital, Guangzhou, Guangdong, China
⁶Department of Obstetrics and Gynecology, Sixth Affiliated Hospital of Guangzhou Medical University, Qingyuan People’s Hospital, Guangzhou, Guangdong, China
⁷Department of Obstetrics and Gynecology, Northwest Women’s and Children’s Hospital, Xian, Shaanxi, China
⁸Department of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
⁹Department of Obstetrics and Gynecology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henen, China
¹⁰Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, China
¹¹Department of Obstetrics and Gynecology, First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China
¹²Department of Obstetrics and Gynecology, First Affiliated Hospital of Chongqing Medical University, Chongqing, China
¹³Department of Obstetrics and Gynecology, Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China
¹⁴Institute of Reproductive and Child Health, National Health Commission Key Laboratory of Reproductive Health, Peking University Health Science Center, Beijing, China

^*Corresponding Author: Lili Du, e-mail: moc.liamtoh@7018udilil
^*Corresponding Author: Dunjin Chen, e-mail: nc.ude.umhzg@nehcrdzg
^*Corresponding Author: Zhijian Wang, e-mail: moc.361@yyfnjzw

^AStudy design/planning
^BData collection/entry
^CData analysis/statistics
^DData interpretation
^EPreparation of manuscript
^FLiterature analysis/search
^GFunds collection

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Table 1 Maternal and neonatal outcomes.

Variables	Cesarean (n=129)	Vaginal birth (n=884)	P
24-h blood loss (mL)	395 (300, 498)	309.33 (265, 373.02)	0
PPH	4 (3.1%)	68 (7.7%)	0.065
Blood transfusion	5 (3.9%)	31 (3.5%)	0.83
Rupture of uterus	3 (2.3%)	1 (0.1%)	0.007
Injury of bladder	0	14 (1.6%)	0.237
Antibiotics after birth	126 (97.7%)	256 (29%)	0
Oxytocin after birth	124 (96.1%)	801 (90.6)	0.038
Prostaglandin after birth	51 (39.5%)	379 (42.9%)	0.474
Ergonovine after birth	6 (4.7%)	22 (2.5%)	0.155
Maternal mortality	0	0
1-min Apgar score	9 (9, 10)	9 (9, 10)	0.16
Asphyxia	3 (2.3%)	28 (3.2%)	0.105
Neonatal mortality	1 (0.8%)	0	1
PPH – postpartum hemorrhage.

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Development and Validation of Predictive Models for Vaginal Birth After Cesarean Delivery in China

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