DOI: http://dx.doi.org/10.18203/issn.2454-2156.IntJSciRep20205494

Factors associated with successful vaginal birth after cesarean section and its outcome in Asella Referral and Teaching Hospital, Ethiopia

Hulemenash T. Girma, Hussein Mekonnen, Endalew G. Sendo, Jembere T. Deressa

Abstract


Background: Planned vaginal birth after cesarean section is appropriate for and offered to the majority of women with a singleton pregnancy of cephalic presentation at 37 weeks or beyond. The main purpose of the study was to assess factors associated with successful vaginal birth after cesarean section and its outcome in Asella Referral and Teaching Hospital.  

Methods: An institutional based case-control study conducted to identify factors associated with successful vaginal birth after cesarean section and its outcome in a two years period. The data was collected from patients’ charts after tracing a patient’s number, a double proportion sampling technique was used to determine sample size using EPI info version 7.1.4.0, and multivariate regression analysis of independent variables associated with successful vaginal birth after cesarean section was performed with unmatched case control.   

Results: Two hundred eighty-eight (288) mothers with history of one previous cesarean delivery attempted vaginal birth after cesarean section. This study found significant successful vaginal birth after cesarean section in mothers with previous vaginal birth, prior successful vaginal delivery after cesarean section, presented with cervical dilatation more than or equal to 4 cm and intact membrane at admission. Meconium>grade I and duration of labour>481minute negatively affected the success rate but weight did not affect vaginal birth after cesarean outcome.

Conclusions: Careful selection of mother is the corner stone of successful vaginal birth after cesarean section with special consideration of gestational age, condition of membrane, and develops national evidence-based clinical practice guidelines for potential implication.  


Keywords


Cesarean section, Labour, Membrane rupture, Vaginal birth, Ethiopia

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References


Ghafarzadeh M, Namdari M, Ashraf H. Vaginal birth after cesarean section: a retrospective study. Pak J Med Sci. 2010;26(4):987-9.

Maurya A. Study of factors associated with success of vaginal birth after previous one caesarean section. Sch J App Med Sci. 2016.

Madhavi N, Sujatha VV, Sapna S, Lavanya V, Sushma M. Factors Associated with Successful Vaginal Birth after Caeserean. Global J Medic Res. 2014.

McMahon MJ, Luther ER, Bowes Jr WA, Olshan AF. Comparison of a trial of labor with an elective second cesarean section. N Eng J Medic. 1996;335(10):689-95.

Madhavi VV, Sapna S, Lavanya V, Sushma M. Factors associated with successful vaginal birth after Caeserean. Glob J Medic Res. 2014;13(2).

Koblentz JA. Variables in VBAC Success: A Retrospective Review of Trial of Labor After Cesarean (TOLAC) and Labor Support. 2015.

Birara M, Gebrehiwot Y. Factors associated with success of vaginal birth after one caesarean section (VBAC) at three teaching hospitals in Addis Ababa, Ethiopia: a case control study. Bio Med Cent. 2013;13(1):31.

Zaitoun M, Eldin S, Mohammad E. A Prediction Score for Safe and Successful Vaginal Birth after Cesarean Delivery: A Prospective Controlled Study. J Women’s Health Care. 2013;129(2):2167.

Acosta CD, Kurinczuk JJ, Lucas DN, Tuffnell DJ, Sellers S, Knight M. Severe maternal sepsis in the UK, 2011-2012: a national case-control study. PLoS Med. 2014;11(7).

Robinson B, Grobman WA. Successful vaginal trial of labor: Can it be predicted 2010.

Scott JR. Vaginal birth after cesarean delivery: a common-sense approach. Obstet Gynecol. 2011;118(2):342-50.

Alani WY, Part AB, Dayoub N. Factors Influencing Successful Vaginal Birth after Cesarean Delivery. Bahr Medic Bull. 2017;39(1).