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Maternal age < 40 years
No Yes
Vaginal birth history
Vaginal birth before and after first cesarean delivery Vaginal birth after first cesarean delivery Vaginal birth before cesarean delivery No previous vaginal birth
Reason other than failure to progress for first cesarean delivery
No Yes
Cervical effacement at admission
> 75% 25-75% < 25%
Cervical dilation ≥ 4 cm at admission
No Yes

VBAC Risk Score for Successful Vaginal Delivery (Flamm Model)

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