FLAMM-GEIGER Scoring System

Posted: Maret 27, 2010 in dokter, Obstetri
Tag:, , ,

Untuk menentukan keberhasilan persalinan pervaginam setelah seksio sesaria (VBAC:Vaginal Birth After Caesarean), dalam suatu penelitian observasional yang melibatkan 5022 pasien, Bruce L. Flamm, MD dan Ann M. Geiger, PhD membuat Admission Scoring System sebagai berikut:

No. Kriteria Nilai
1 Usia dibawah 40 tahun 2
2 Riwayat persalinan pervaginam:
– sebelum dan setelah seksio sesarea 4
– setelah seksio sesarea pertama 2
– sebelum seksio pertama 1
– Belum pernah 0
3 Indikasi seksio sesarea pertama bukan kegagalan kemajuan persalinan 1
4 Pendataran serviks pada saat masuk rumah sakit
–  > 75% 2
–  25 – 75 % 1
–  < 25% 0
5 Pembukaan serviks pada saat masuk rumah sakit ≥ 4 cm 1

Interpretasi:  Nilai 0 – 2  : 49%             kemungkinan persalinan pervaginam

Nilai 3 – 8  : 50 – 94%    kemungkinan persalinan pervaginam

Nilai 8 – 10: 95%            kemungkinan persalinan pervaginam.

(Dikutip dari: Klein GH. Commentary and review: vaginal birth after cesarean delivery: an admission scoring system).

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