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The rate of pregnant patients with a history of cesarean section is increasing. Caesarean section is a surgery which is not without risk and in particular concerning the risk of uterine rupture and malplacentation during a new pregnancy.
Considering the outcome of a new birth following a cesarean section is not easy. There is no reliable score to predict the success rate of vaginal delivery with a history of scarred uterus. The aim of our study would be to validate the intrapartum Grobman nomogram within the population of the Nancy University Hospital and thus to target the population for whom vaginal delivery could be offered.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Main population | History of cesarean section Vertex singleton gestation At term (at least 37 weeks of gestation) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| data collection | Other | data collection : age, gestational age, BMI, history of vaginal delivery after cesarean section, indication for cesarean section, preeclampsia for this pregnancy, the cervix dilatation, position in the pelvis, cervix consistency |
| Measure | Description | Time Frame |
|---|---|---|
| Modified Grobman score | calculate Grobman score according to different criteria. If the score is high, the probability of vaginal delivery is high. This a score which calculates probability of vaginal delivery thanks to 11 parameters (maternal âge, BMI, previous vaginal delivery before and after ceasection, recurring indication, gestational age, hypertensive disease of pregnancy, effacement, dilatation, foetal station, labor induction) | per-partum, 9 months |
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Inclusion Criteria:
Exclusion Criteria:
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Population of women who gave birth at the Nancy maternity ward and met the inclusion criteria, from January 2014 to January 2021.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Charlotte COTTEZ | Contact | 0689677319 | c.cottez@chru-nancy.fr |
| Name | Affiliation | Role |
|---|---|---|
| Charlotte COTTEZ | Hospital, Nancy, France | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Maternity | Nancy | France |
|
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| ID | Term |
|---|---|
| D003625 | Data Collection |
| ID | Term |
|---|---|
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D017531 | Health Care Evaluation Mechanisms |
| D011787 | Quality of Health Care |
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| D017530 | Health Care Quality, Access, and Evaluation |
| D011634 | Public Health |
| D004778 | Environment and Public Health |