Diagnostic Accuracy of Flamm and GeigerScoring System as a Prediction Model for Outcome at the Time of Labour- Asingle-Centred Study

Abstract

Objective: To develop a simple scoring system (model) based on the information available at the time of hospitalization to predict the probability of success/failure of vaginal birth after caesarean (VBAC).
Method: A prospective observational study carried out in a tertiary care hospital, from Punjab Province, Pakistan with recruitment of participants over a period of six months. Pregnant women underwent trial of labour after caesarean (TOLAC) with inclusion criteria as follow: Pregnant females with singleton fetus (on USG), of age ≥ 18 years with prior history of one caesarean section, with vertex presentation of fetus (antenatal examination). Patients with any of the following excluded from study: have uterine surgery, fetal
mal-presentation and Cephalo pelvic disproportion. One hundred and sixty (160) pregnant women were under trial for the development the prediction model using variables (maternal age, gestational age, body mass index (BMI),) at the time of admission. The outcomes, such as successful or failure of VBAC, were correlated with the VBAC score results.
Results: Out of 160 cases, 113 (70.6%) cases had successful VBAC while remained 47 (29.4%) had unsuccessfulVBAC (p-value=0.0001). The scoring model indicated 33.3%, 68.6% and 80.5% successful VBAC for score 0-2, 3-7 and 8-10 respectively (p-value=0.045).
Conclusion: The present study demonstrates that the suggested VBAC prediction model is an effective tool for predicting the outcome of TOLAC and may be used to counsel females of reproductive age regarding the mode of childbirth in the current pregnancy and subsequent pregnancies.

How to cite: Iqbal S, Ullah AA, Tassadaq A, Sharif M, Ijaz F, Qureshi AA. Diagnostic Accuracy of Flamm and Geiger
Scoring System as a Prediction Model for Outcome at the Time of Labour- A single-Centred Study. Esculapio - JSIMS
2022;18(04):248-252