American journal of obstetrics and gynecology
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In this review, South Atlantic Association of Obstetricians and Gynecologists President N. Donald Diebel examines a brief history of health care in the United States and shares his thoughts about questions raised in his 2015 presidential address: How can the enormous advances in medical science be extended to everyone and not just some? What are the obstacles or impediments to this task? How can they be overcome?
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Am. J. Obstet. Gynecol. · Jun 2015
Does midtrimester cervical length aid in predicting vaginal birth after cesarean?
A longer midtrimester cervical length (CL) is associated with an increased chance of cesarean delivery, but CL has not been used to predict the chance of successful trial of labor after cesarean delivery (TOLAC). The objective of this study was to identify whether midtrimester CL improves the prediction of vaginal birth after cesarean delivery (VBAC) among women undergoing a TOLAC. ⋯ Shorter midtrimester CL is associated with a greater chance of vaginal birth after a TOLAC. However, midtrimester CL does not significantly improve the clinical value of a previously developed VBAC prediction model.