Faculty Opinions recommendation of Development of a nomogram for prediction of vaginal birth after cesarean delivery.

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Abstract
Derived from data on 7660 women, this nomogram bases predictions of successful vaginal birth after cesarean delivery on six variables available at the first prenatal visit. If a patient’s score exceeds 60 out of a possible 90 points, a trial of labor will result in less risk of major morbidity than an elective cesarean delivery. Although this is the most comprehensive, prospective prediction model yet developed to assist women who have had a cesarean delivery in making a decision about having a trial of labor versus an elective cesarean delivery, the nomogram needs to be tested in a prospective trial.

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