Table 2.
Factors associated with vaginal birth following a trial of labor after two previous cesareans (n = 22,762)
Factor | aORa | 95% CI | |
---|---|---|---|
Maternal factors | |||
Age > 35 years | 0.88 | 0.81 | 0.96 |
Some college education | 0.85 | 0.79 | 0.92 |
Married | 1.13 | 1.04 | 1.23 |
Medicaid insurance | 0.91 | 0.84 | 0.99 |
Cigarette smokerb | – | – | – |
Maternal race/Ethnicityc | |||
African-American | 0.68 | 0.62 | 0.76 |
Hispanic | 0.64 | 0.58 | 0.70 |
Asian-American | 0.59 | 0.49 | 0.71 |
Weight categoryd | |||
Underweight | 1.04 | 0.80 | 1.35 |
Overweight | 0.87 | 0.79 | 0.95 |
Obese | 0.75 | 0.68 | 0.82 |
Weight gaine | |||
Below IOM guidelines | 1.10 | 0.99 | 1.21 |
Above IOM guidelines | 0.88 | 0.81 | 0.95 |
Previous vaginal delivery | 1.58 | 1.47 | 1.70 |
Gestational diabetesb | – | – | – |
Pre-pregnancy diabetes | 0.98 | 0.85 | 1.12 |
Gestational hypertension | 0.84 | 0.69 | 1.03 |
Chronic hypertension | 1.13 | 0.84 | 1.52 |
Induction of labor | 1.08 | 0.96 | 1.22 |
Gestational age (weeks)f | |||
360/7–366/7 | 0.64 | 0.54 | 0.76 |
370/7–376/7 | 0.79 | 0.70 | 0.89 |
380/7–386/7 | 0.85 | 0.78 | 0.94 |
400/7–406/7 | 2.01 | 1.80 | 2.26 |
410/7–416/7 | 1.66 | 1.39 | 1.98 |
> 420/7 | 1.32 | 0.87 | 1.99 |
Abbreviations: aOR, adjusted odds ratio; CI, confidence interval; IOM, Institute of Medicine.
Model adjusted for maternal age, college education, Medicaid insurance, cigarette smoking, gestational age, maternal race, maternal weight gain, gestational diabetes, prepregnancy diabetes, gestational hypertension, chronic hypertension, induction of labor, and previous vaginal delivery.
Omitted due to collinearity.
Comparison group: Caucasian.
Comparison group: normal weight.
Comparison group: within IOM Guidelines.
Comparison group: weeks 390/7–396/7.