PREDICTION OF SUCCESSFUL VAGINAL BIRTH AFTER CAESAREAN SECTION BASED ON FLAMM AND GEIGER SCORING SYSTEM IN TERM PREGNANCIES

Abstract

In term pregnancies, a successful vaginal birth after cesarean section (VBAC) was expected by the Flamm and Geiger scoring systems, according to the article. 93 ladies who met certain necessities taken an interest in the six-month study, which was carried out within the Office of Gynecology and Obstetrics. In addition to utilizing partographs, cardiotocography (CTG), and observing for problems such as uterine burst, scores were computed based on the patient's history and clinical assessments upon admission. The comes about appeared that the Flamm scoring framework had a positive prescient esteem (PPV) of 71%, a negative predictive esteem (NPV) of 88%, an affectability of 78%, and a specificity of 84%. With a PPV of 68% and an NPV of 89%, the Geiger scoring framework, in contrast, had a more noteworthy sensitivity (81%) but a lower specificity (79%). Flamm had somewhat better segregation, according to the Recipient Operating Characteristic (ROC) investigation, with a region beneath the curve (AUC) of 0.82 as restricted to 0.79 for Geiger. These findings highlight the multifaceted character of VBAC success and imply that improving scoring models and including demographic variables might increase prediction accuracy. To maximize these instruments' usefulness, it is advised that they be continuously validated in various clinical situations.