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Research Paper | Obstetrics and Gynecology | India | Volume 12 Issue 8, August 2023 | Rating: 5.4 / 10
Predictive Efficacy of the FLAMM Calculator in Assessing Successful Trial of Labor after Cesarean (TOLAC)
Monalisa Sahu [4] | Meenakshi B Chauhan | Smriti Anand | Sailesh Khyalia
Abstract: Background: There is increasing trend of cesarean section influencing the rate of repeat cesarean section. The overall rate of cesarean section needs to be reduced by Trial of Labor after a cesarean (TOLAC) which is safe for both fetus and mother. If success of TOLAC can be predicted beforehand by certain parameters it will improve the decision - making process in women attempting TOLAC. Methodology: To evaluate the efficacy of FLAMM calculator in predicting the successful TOLAC among women with previous one LSCS, a prospective observational study was conducted on 100 pregnant women with ?37 weeks of gestation with previous one cesarean section. FLAMM score was calculated based on history and clinical examination at the time of admission. Labor was monitored and outcome of each woman was considered in view of successful TOLAC. Results: In the present study, out of 100 women 56% women had successful TOLAC whereas 44% women had failed TOLAC. Specificity, sensitivity and diagnostic accuracy of FLAMM scoring system was 93.18%, 67.86% and 79%, respectively. Conclusion: So, it was concluded that FLAMM calculator is good predictor for TOLAC, and as the total FLAMM score increases, the chance of successful vaginal birth after cesarean (VBAC) increases.
Keywords: TOLAC, vaginal birth after cesarean, LSCS, TTN, FLAMM score
Edition: Volume 12 Issue 8, August 2023,
Pages: 1989 - 1992