Success rate and obstetric outcomes of trial of labor after cesarean delivery-Decision-tree analysis.

ABSTRACT:

Background

Pregnant women with a previous cesarean delivery (CD) may opt for a trial of labor after cesarean (TOLAC) or elective repeat cesarean delivery (ERCD). This study aimed to evaluate the success rate, and maternal, and perinatal outcomes of TOLAC and to develop a predictive decision-tree algorithm for successful TOLAC.

Methods

A retrospective study was conducted in a tertiary medical center and included all women with one prior CD who delivered between 2008 and 2019. Maternal and perinatal outcomes were compared between successful and failed TOLAC and ERCD groups. A decision-tree algorithm was constructed using the χ² automatic interaction detection method.

Results

Of 10 325 women with one prior CD (out of 103 542 deliveries), the rate of successful

SUBMITTER: Houri O 

PROVIDER: S-EPMC12447695 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature