Vaginal birth after previous caesarean section in women at Al-Wahda hospital Derna, Libya

Background: Vaginal birth after caesarean section is one strategy that has been developed to decrease the rate of caesarean section.Methods: The prospective observational study was carried out over a period of 01 January 2017 to 31 December 2018 years. VBAC was routinely offered at Al-Wahda hospital Derna to women fulfilling the criteria for trial of scar, according to the hospital protocol.Results: A total of 5018 deliveries took place in the study duration, there were 1039 (20.7%) had previous one caesarean section, out of which 319 (30.7%) were the number of underwent repeat caesarean section and 720 (69.3%) were the number of VBAC. The indications for emergency repeat caesarean section at Al-Wahda hospital was (29.3%) malpresentation, (24.45%) FD, (13.47) postdate, (11.59) obstracted lab and abruptiopl (5.95%). Anemia and difficult intubation were observed in repeated caesarean section.Conclusions: This study concluded that there is a high chance of success in a trial of labor. These findings might help clinicians and women in the decision-making for the mode of delivery when it comes to pregnancy with a previous caesarean section. Women are explained about the option of trial of scar and told about the risk associated with a repeat CS, so many CSs can be avoided.

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Comparative study of maternal and fetal outcome in patients with Vaginal Birth after caesarean section and elective repeat caesarean section

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11i4.3179 ◽

2020 ◽

Vol 11 (4) ◽

pp. 5473-5480

Author(s):

Poonam Kalburgi ◽

Sanjaykumar Patil

Keyword(s):

Caesarean Section ◽

Prospective Observational Study ◽

Institutional Delivery ◽

Mode Of Delivery ◽

Fetal Monitoring ◽

Fetal Outcome ◽

Vaginal Birth ◽

Group 2 ◽

Vaginal Birth After Caesarean ◽

Group 1

Women after delivering her first baby by section have a choice about mode of delivery for her second baby. The study was planned to compare maternal and perinatal outcome between VBAC and repeat elective LSCS in patients with prior one LSCS and their complications. A prospective observational study was carried out in department of obstetrics and . Total 180 cases of previous LSCS who were eligible for vaginal delivery were recruited 90 in each group as per consent given by them. Group 1: Vaginal Birth after section Group 2: elective repeat section. It was observed that majority of the patients group 1(51.1%) and group 2 (47.8%) were in age group of 25 to 30 years. More than 25kg/m2 BMI was found in 18(20%) cases of VBAC group and 30(33.3%) cases of LSCS group pregnancy interval was significantly lower in LSCS group compared to VBAC group. Mean birth weight was 2.832 kg to 2.917kg in both group. with improved maternal care, close fetal monitoring and institutional delivery for a previous one section, VBAC is considered safer than repeat elective section in carefully selected patient.

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Successful vaginal birth after caesarean section in patient with Ehler-Danlos syndrome type 2

Obstetric Medicine ◽

10.1258/om.2011.100069 ◽

2011 ◽

Vol 4 (4) ◽

pp. 164-165 ◽

Cited By ~ 1

Author(s):

Hemant Maraj ◽

Michelle Mohajer ◽

Deepannita Bhattacharjee

Keyword(s):

Caesarean Section ◽

Mode Of Delivery ◽

Genetic Defect ◽

Vaginal Birth ◽

Previous Caesarean Section ◽

Inherited Disorders ◽

Vaginal Deliveries ◽

Danlos Syndrome ◽

Vaginal Birth After Caesarean

We present the case of a 31-year-old woman with Ehler-Danlos syndrome (EDS) type 2. She had a previous caesarean section and went on to have an uncomplicated vaginal birth in her last pregnancy. To our knowledge, this is the first case of a successful vaginal birth after caesarean section in a patient with EDS. EDS is a multisystem disorder involving a genetic defect in collagen and connective-tissue synthesis and structure. It is a heterogeneous group of 11 different inherited disorders. Obstetric complications in these patients include miscarriages, stillbirths, premature rupture of the membranes, preterm labour, uterine prolapse, uterine rupture and severe postpartum haemorrhage. There has been much controversy over the appropriate mode of delivery. Abdominal deliveries are complicated by delayed wound healing and increased perioperative blood loss. Vaginal deliveries may be complicated by tissue friability causing extensive perineal tears, pelvic floor and bladder lesions. Our case highlights that in specific, controlled situations it is possible to have a vaginal delivery even after previous caesarean section in patients with EDS.

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OC13.01: Ultrasound improves the prediction of successful vaginal birth after Caesarean section: a prospective observational study

Ultrasound in Obstetrics and Gynecology ◽

10.1002/uog.22292 ◽

2020 ◽

Vol 56 (S1) ◽

pp. 36-37

Author(s):

G. Rizzo ◽

I. Mappa ◽

M. Pietrolucci ◽

V. Bitsadze ◽

J. Khizroeva ◽

...

Keyword(s):

Caesarean Section ◽

Observational Study ◽

Prospective Observational Study ◽

Vaginal Birth ◽

Vaginal Birth After Caesarean

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Birth after previous caesarean section

British Journal of Midwifery ◽

10.12968/bjom.2021.29.11.615 ◽

2021 ◽

Vol 29 (11) ◽

pp. 615-619

Author(s):

Anna-Marie Madeley

Keyword(s):

Decision Making ◽

Clinical Practice ◽

Caesarean Section ◽

Clinical Evidence ◽

Vaginal Birth ◽

Previous Caesarean Section ◽

Vaginal Birth After Caesarean

Midwifery and obstetric involvement in supported decision making and subsequent clinical practice around birth after caesarean section has been much debated and negotiated for some time. This article discusses some of the clinical evidence and factors to be taken into account when providing support and information for women and birthing people considering their options for birth after caesarean. The article focuses on the currently published guidelines to support practice and guide discussions with women and birthing people. In the article, the terms ‘planned vaginal birth’ and ‘vaginal birth after caesarean’ are used interchangeably.

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Outcome of Women with Previous Cesaerian Section At A Tertiary Care Hospital in Eastern Nepal

Health Renaissance ◽

10.3126/hren.v12i1.11980 ◽

2015 ◽

Vol 12 (1) ◽

pp. 18-23

Author(s):

Ajay Agrawal ◽

S Chhetri ◽

A Thakur ◽

S Agrawal ◽

P Basnet

Keyword(s):

Caesarean Section ◽

Pregnant Women ◽

Perinatal Outcome ◽

Caesarean Delivery ◽

Tertiary Care ◽

Mode Of Delivery ◽

Vaginal Birth ◽

Care Hospital ◽

Previous Caesarean Section ◽

Vaginal Birth After Caesarean

Background: Pregnant women with previous caesarean section are increasing due to the liberal use of caesarean section in first pregnancy due to multifactorial reason. The risks, benefits, and relative safety of vaginal birth after caesarean (VBAC) have been subject of interest for well over 100 years. Thus mutual understanding between the treating obstetrician and patient herself is a core towards achieving good maternal and perinatal outcome considering all the risk and benefit in women with previous caesarean section. Objective: The aim was to analyze the maternal and perinatal outcome in pregnant women with previous caesarean section. Methods: In this prospective observational study, 300 women with singleton pregnancy in cephalic presentation with previous one lower segment caesarean section (LSCS) having inter pregnancy interval ≥ 18 months presenting at ≥ 37-41 week period of gestation admitted for delivery were enrolled and various maternal and perinatal outcome were noted. Results: Caesarean delivery rate during the study period was 26.95%. Eighty percent of eligible women opted for trial of labor. Successful vaginal birth after caesarean section was 29%. Elective repeat caesarean delivery was 19.66%. The rate of failed VBAC was 51%. Failed VBAC increased with increasing weight of baby. There was no difference in mean birth weight among patient who had successful VBAC, who refused VBAC and who had failed VBAC. Mode of delivery had no significant effect on the number of neonatal intensive care unit admission and number of still births. DOI: http://dx.doi.org/10.3126/hren.v12i1.11980Health Renaissance 2014;12(1):18-23

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Prediction of successful vaginal birth after caesarean section based on Flamm and Geiger scoring system a prospective observational study

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20184118 ◽

2018 ◽

Vol 7 (10) ◽

pp. 3998

Author(s):

Rajshree Sahu ◽

Naimaa Chaudhary ◽

Asha Sharma

Keyword(s):

Caesarean Section ◽

Observational Study ◽

Vaginal Delivery ◽

Scoring System ◽

Prospective Observational Study ◽

Emergency Caesarean Section ◽

Vaginal Birth ◽

New Delhi ◽

Emergency Caesarean ◽

Vaginal Birth After Caesarean

Background: The aim of this study was to evaluate the adequacy of Flamm and Geiger scoring system in prediction of successful vaginal birth after caesarean section.Methods: A prospective observational study was carried out on 75 pregnant women with previous one caesarean section in department of obstetrics and Gynecology, St Stephen’s hospital, New Delhi over a period of one year.Results: In the present study, out of 75 patients, 40% patients had successful VBAC and 60% patients had emergency LSCS. Among successful VBAC 70% patients had spontaneous vaginal delivery, while 23.3% patients had vacuum assisted and 6.7% had forceps assisted vaginal delivery. Most of the patients with total Flamm and Geiger score < 3 at the time of admission had emergency caesarean section while most of the patients with score >4 had successful VBAC. There were 53.3%, 75%, 85.7% and 100% probabilities of Successful VBAC with total score 4,5,6 and >8 respectively. Mean score for successful VBAC was 5±1.66and for emergency caesarean was 2.97±0.83.Conclusions: As total Flamm and Geiger score increases, a chance of successful VBAC increases. Application of Flamm and Geiger scoring gives fare judgment of successful vaginal birth in TOLAC and reduces the rate of failed trial leading to emergency caesarean section, thus improving outcome in a trial of labor.

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Fetomaternal Outcomes in Pregnancy with Previous Caesarean Section in Indian Scenario: A Prospective Observational Study Protocol

Indian Journal of Obstetrics and Gynecology ◽

10.21088/ijog.2321.1636.5417.17 ◽

2017 ◽

Vol 5 (4) ◽

pp. 543-546

Author(s):

Madhavi Santpur ◽

◽

Unmesh Santpur ◽

Mohmad Anees Kar ◽

◽

...

Keyword(s):

Caesarean Section ◽

Observational Study ◽

Study Protocol ◽

Prospective Observational Study ◽

Previous Caesarean Section ◽

In Pregnancy ◽

Indian Scenario

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Vaginal Birth After Previous Caesarean Section

Kurdistan Journal of Applied Research ◽

10.24017/science.2017.2.5 ◽

2017 ◽

Vol 2 (2) ◽

pp. 36-44

Author(s):

Chro N. Fattah ◽

Hazha Jalal

Keyword(s):

Caesarean Section ◽

Pregnant Women ◽

Prospective Observational Study ◽

Vaginal Birth ◽

Perineal Tear ◽

Neonatal Complication ◽

Significant Probability ◽

Inter Pregnancy Interval ◽

Selection Of ◽

Vaginal Birth After Caesarean

The proportion of women who attempt vaginal birth after prior cesarean delivery has decreased mainly because of the concern about safety. The purpose of this study is to observe maternal & neonatal outcomes in women delivered either by vaginal birth after caesarean section, elective repeat caesarean section or failed trial of labour. To design a definite protocol for selection of patient to achieve successful vaginal birth after caesarean (VBAC) section. A prospective observational study was set at Sulaimani Maternity Teaching Hospital/ Kurdistan region of Iraq, from first July 2013 to first July 2014. In which 200 pregnant women (with one prior caesarean section & singleton, term, cephalic presentation) were enrolled, followed up during labour & puerperium for maternal & neonatal complications. Data analysis was performed using the statistical software namely (SPSS version 20). Planned vaginal birth was successful in 63.4% of pregnant women, with the least maternal and neonatal complication, apart from 3rd degree perineal tear (2.3%) which was statistically significant (probability value < 0.001). In conclusion, the women who had successful vaginal birth after caesarean, had better result for the mother and neonate than failed trial of labour and those who had elective repeat caesarean section. Women with body mass index of < 30kg/m2, age <30 years, inter pregnancy interval >18months, non-recurrent cause of previous scar and estimated fetal weight of < 4kg, had more successful VBAC rate.

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