Outcome of vaginal birth after caesarean section in women with one previous section and spontaneous onset of labour

Frass, Kaima A.; Harazi, Abdelrahman H. Al

doi:10.26719/2011.17.8.646

Cited by 12 publications

(13 citation statements)

References 8 publications

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“…Failure of VBAC in labor induction group has been supported by other studies. 19 As was also concluded in the study by Sondgeroth et al, 20 the VBAC success rates in our study improved as the Bishop score at admission increased, implying that modified Bishop score is an important predictor of success of VBAC.…”

Section: Discussionsupporting

confidence: 86%

Factors predicting Success of Vaginal Birth after Cesarean Section

Singh¹,

Verma²,

Nisha³

et al. 2016

Journal of South Asian Federation of Obstetrics and Gynaecology

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Aim:The aim of this article is to study the various factors that can predict the success of vaginal birth after cesarean (VBAC) section. Materials and methods:A retrospective cohort study of deliveries was conducted from 1 January 2014 to 31 December 2014 by the Department of Obstetrics and Gynecology in our hospital. Patients with previous low transverse cesarean section who had undergone a trial of labor were identified. Maternal inpatient and prenatal records were reviewed in all eligible subjects. During labor, uterine activity and fetal heart rate were monitored. When indicated, oxytocin or prostaglandin E2 was used for induction of labor according to Bishop score. Emergency cesarean delivery was considered in cases with the appearance of scar tenderness, fetal distress, nonprogress of labor, and deep transverse arrest.Results: A total of 200 women were eligible for VBAC, but after written informed consent, 131 (65.5%) subjects were given trial of labor at term after one prior cesarean delivery among 3,604 deliveries while 69 (34.5%) subjects opted for elective repeat cesarean section. The overall VBAC success rate was 63.3% (76 of 120) in our study. History of spontaneous labor (p = 0.042) and history of previous vaginal delivery (p = 0.038) were found to be significantly associated with increased chance of success of VBAC, and lesser interdelivery interval was not found to be associated with decreased success rate (p = 0.096). Neither indication of previous cesarean nor birth weight of newborn (>3 kg) was found to be related to the success of VBAC. Conclusion:Vaginal birth after cesarean section is a safe practice as long as it is offered with a proper selection of candidates with factors having a high success rate. Physicians need to be aware of factors having a good outcome before counseling mothers so that failure rates decrease and successful VBAC is increased.Keywords: Trial of labor after cesarean, Vaginal birth after cesarean scoring, Vaginal delivery after cesarean vaginal birth after cesarean section.

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Section: Discussionsupporting

confidence: 86%

Factors predicting Success of Vaginal Birth after Cesarean Section

Singh¹,

Verma²,

Nisha³

et al. 2016

Journal of South Asian Federation of Obstetrics and Gynaecology

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“…However we observed 11(11.11% ) that baby were admitted in NICU in successful VBAC group for five babies preterm supportive care, two for mild IUGR rest two neonatal sepsis and two neonatal jaundice respectively. None of the baby was admitted for birth asphyxia .This is similar with previous studies indicating vaginal delivery after one cesarean section is safe in regards to neonatal outcome if monitored vigilantly [22][23]. Like other studies this study also has limitations ,these are recall bias about previous events by women ,non availability of all the previous documents, small sample size and single center based.…”

Section: Nonesupporting

confidence: 84%

Trial of Vaginal Birth After Caesarean (VBAC): Sharing Experience From a Tertiary Care Center of Eastern Nepal

Ghimire

Pokharel

et al. 2018

J Nobel Med Coll

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Background: Rising rates of cesarean section is a matter of great concern and trial of labor in previous cesarean section women is an attractive alternative. Vaginal Birth After Caesarean (VBAC) may be one of the strategy developed to control the rising rate of cesarean deliveries in our country. Analyzing outcome of previous caesarean pregnancies will provide an insight for reducing the caesarean rates and formulating protocols and policies for trial of labor. The purpose of this study is to evaluate the pregnancy outcome in previous caesarean section women with VBAC trial with the hope of avoiding unnecessary repeat caesarean section rates. Methodology: It is a cross-sectional observational institute based study carried out in Nobel Medical College Teaching Hospital from 15th March 2017 to 14th March 2018 after the approval from Institutional Review Committee (IRC). This consists of patient with past history of cesarean section, who delivered in NMCTH during the study period and meeting the Royal College of Obstetrics and Gynecology (RCOG) inclusion criteria for VBAC. Feto-maternal outcomes were analysed. Results: There were 1225 previous cesarean cases, among them, we did VBAC trial in 135(11%) patients, 99 (73.33%) had successful vaginal delivery whereas 36(26.66%) could not do the same after labor trial. Feto-maternal outcome was better in VBAC patients than cesarean group.No maternal and neonatal mortality occurred. Conclusion: In the country like ours where rate of caesarean section is increasing alarmingly we have to try VBAC in appropriate group of patients. National policy and guidelines are necessary after large multicenter prospective studies. Journal of Nobel Medical College Volume 7, Number 1, Issue 12, January-June 2018, Page: 18-25

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“…Reaching a shared decision on DM also requires obstetricians as well as women to be informed that a planned TOLAC on term singleton pregnancies with cephalic presentation reportedly has a VBAC success rate of 70-87% [92][93][94] . Moreover, obstetricians and parturients should also be advised that a history of one previous VD, particularly prior VBAC, is independently and strongly associated with a TOLAC success rate of 85-90%, and with a reduced risk of uterine rupture among women undergoing TOLAC 95 .…”

Section: Prospectsmentioning

confidence: 99%

Understanding Factors Leading to Primary Cesarean Section and Vaginal Birth After Cesarean Delivery in the Friuli-Venezia Giulia Region (North-Eastern Italy), 2005–2015

Cegolon

Mastrangelo

Maso

et al. 2020

Sci Rep

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Although there is no evidence that elevated rates of cesarean sections (cS) translate into reduced maternal/child perinatal morbidity or mortality, cS have been increasingly overused almost everywhere, both in high and low-income countries. the primary cesarean section (pcS) has become a major driver of the overall cS (ocS) rate, since it carries intrinsic risk of repeat cS (RcS) in future pregnancies. in our study we examined patterns of pcS, pl compared with planned toLAc anned PCS (PPCS), vaginal birth after 1 previous CS (VBAC-1) and associated factors in Friuli Venezia Giulia (FVG), a region of NorthEastern Italy, collecting data from its 11 maternity centres (coded from A to K) during 2005-2015. By fitting three multiple logistic regression models (one for each delivery mode), we calculated the adjusted rates of pcS and ppcS among women without history of cS, whilst the calculation of the VBAC rate was restricted to women with just one previous CS (VBAC-1). Results, expressed as odds ratio (OR) with 95% confidence interval (95%CI), were controlled for the effect of hospital, calendar year as well as several factors related to the clinical and obstetric conditions of the mothers and the newborn, the obstetric history and socio-demographic background. in fVG during 2005-2015 there were 24,467 OCS (rate of 24.2%), 19,565 PCS (19.6%), 7,736 PPCS (7.7%) and 2,303 VBAC-1 (28.4%). We found high variability of delivery mode (DM) at hospital level, especially for pcS and ppcS. Breech presentation was the strongest determinant for pcS as well as ppcS. Leaving aside placenta previa/abuptio placenta/ante-partum hemorrhage, further significant factors, more importantly associated with pcS than ppcS were non-reassuring fetal status and obstructed labour, followed by (in order of statistical significance): multiple birth; eclampsia/pre-eclampsia; maternal age 40-44 years; placental weight 600-99 g; oligohydramios; pre-delivery LoS 3-5 days; maternal age 35-39 years; placenta weight 1,000-1,500 g; birthweight < 2,000 g; maternal age ≥ 45 years; pre-delivery LoS ≥ 6 days; mother's age 30-34 years; low birthweight (2,000-2,500 g); polyhydramnions; cord prolaspe; ≥6 US scas performed during pregnancy and pre-term gestations (33-36 weeks). Significant factors for PPCS were (in order of statistical significance): breech presentation; placenta previa/abruptio placenta/ante-partum haemorrhage; multiple birth; pre-delivery LoS ≥ 3 days; placental weight ≥ 600 g; maternal age 40-44 years; ≥6 US scans performed in pregnancy; maternal age ≥ 45 and 35-39 years; oligohydramnios; eclampsia/pre-eclampsia; mother's age 30-34 years; birthweight

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Outcome of vaginal birth after caesarean section in women with one previous section and spontaneous onset of labour

Cited by 12 publications

References 8 publications

Factors predicting Success of Vaginal Birth after Cesarean Section

Factors predicting Success of Vaginal Birth after Cesarean Section

Trial of Vaginal Birth After Caesarean (VBAC): Sharing Experience From a Tertiary Care Center of Eastern Nepal

Understanding Factors Leading to Primary Cesarean Section and Vaginal Birth After Cesarean Delivery in the Friuli-Venezia Giulia Region (North-Eastern Italy), 2005–2015

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