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
Table 3 The most significant variables included in the 2 models.
Variables | Cesarean (n=129) | Vaginal birth (n=884) | First trimester model aOR (95% CI) | P | Pre-labor model aOR (95% CI) | P |
---|---|---|---|---|---|---|
Gravity | 3 (2,4) | 3 (2,3) | 0.81 (0.674–0.973) | * | 0.77 (0.634–0.934) | ** |
Parity | 1 (1,1) | 1 (1,1) | 2.465 (1.21–5.025) | * | 3.235 (1.496–6.997) | ** |
Spontaneous abortion | 0 (0,0) | 0 (0,0) | 3.291 (1.207–8.976) | * | 3.917 (1.391–11.026) | ** |
Pre-weight | 55 (49,61) | 54 (48.5,60) | 0.975 (0.955–0.995) | * | ||
Preterm history | 15 (11.6%) | 202 (22.9%) | 2.345 (1.32–4.166) | ** | ||
Source (Hospital) | 108 (83.7%) | 792 (89.6%) | 0.398 (0.226–0.702) | ** | ||
PROM | 43 (33.3%) | 187 (21.2%) | 0.562 (0.36–0.876) | * | ||
Antepartum hemorrhage | 3 (2.3%) | 71 (8%) | 4.046 (1.205–13.584) | * | ||
PAS | 3 (2.3%) | 3 (0.3%) | 0.081 (0.012–0.541) | * | ||
Neonatal weight | 3320 (3012.5, 3500) | 3100 (2800, 3350) | 0.999 (0.998–0.999) | *** | ||
Oxytocin induction | 19 (14.7%) | 29 (3.3%) | 0.273 (0.139–0.537) | *** | ||
Preeclampsia | 5 (3.9%) | 14 (1.6%) | 0.271 (0.082–0.898) | * | ||
aOR – adjusted odds ratios; CI – confidence interval; PAS – placenta accrete spectrum; Pre-weight – weight before pregnancy; PROM – premature rupture of membrane. *** ** * |