Izvorni znanstveni članak

https://doi.org/10.20471/acc.2026.65.01.03

Vaginal Birth After a Previous Cesarean Section According to the Modified VBAC Score: A Single-Center Study

Ivana Piškur ; Department of Gynecology and Obstetrics, University Hospital Centre Osijek, Osijek, Croatia
Franjo Fury ; Department of Gynecology and Obstetrics, University Hospital Centre Osijek, Osijek, Croatia
Andrijana Muller ; Department of Gynecology and Obstetrics, University Hospital Centre Osijek, Osijek, Croatia; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Domagoj Vidosavljević orcid.org/0000-0002-0621-5403 ; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia *

* Dopisni autor.

Sažetak

The aim of this study was to present the successfulness of vaginal delivery after
a previous Cesarean section (C-section) according to the modified VBAC score at
University Hospital Center Osijek, and to determine the possible use of such a
score in a wider clinical setting.
Patients and methods: We performed a retrospective analysis of 403 medical
histories from University Hospital Center Osijek for the period of 2012–2017.
A simple score was used to calculate the VBAC score that included body mass
index (BMI), age, type of delivery, history of previous C-sections, cervical dilation
and effacement, induction of vaginal delivery, infection, duration of delivery,
time between a previous C-section and the subsequent delivery, and the need
for blood transfusion.
Results: The research was conducted on 403 patients, with a median age of 31
years. Repeated C-section was present in 62 (15.4%) patients, while 341 (84.6%)
patients gave birth vaginally after a previous C-section. Five (0.01%) patients
received a transfusion; 4 had a repeated C-section and 1 gave birth vaginally. A
total of 68 (16.9%) patients had an infection; 60 who had a repeated C-section
and 8 who delivered vaginally. The median VBAC score was 7, ranging from a
minimum of 3 to a maximum of 12. Compared to patients with vaginal birth,
patients who had a repeated C-section had a significantly higher BMI, a longer
duration of labor and a significantly lower VBAC score. It was observed that
patients with a VBAC score of less than 6 compared to those with a score of ≥ 7
had a 9.08 times greater chance of their delivery being completed by C-section.

Ključne riječi

VBAC; Cesarean section; Vaginal delivery

Hrčak ID:

345827

URI

https://hrcak.srce.hr/345827

Datum izdavanja:

27.3.2026.

Podaci na drugim jezicima: hrvatski

Posjeta: 284 *