Factors Associated with Successful Vaginal Birth After a Primary Cesarean Section in Women with an Optimal Inter-Delivery Interval

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.

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Maternal and obstetrical factors associated with a successful trial of vaginal birth after cesarean section

Journal of the Turkish-German Gynecological Association ◽

10.5152/jtgga.2014.14104 ◽

2014 ◽

Vol 15 (4) ◽

pp. 245-249 ◽

Cited By ~ 6

Author(s):

Ibrahim A. Abdelazim ◽

Assem A. M. Elbiaa ◽

Mohamed Al-Kadi ◽

Amr H. Yehia ◽

Bassam M. Sami Nusair ◽

...

Keyword(s):

Cesarean Section ◽

Vaginal Birth ◽

Vaginal Birth After Cesarean ◽

Factors Associated ◽

Successful Trial

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Factors associated with successful vaginal birth after cesarean section and outcomes in rural area of Anatolia

International Journal of Women s Health ◽

10.2147/ijwh.s83800 ◽

2015 ◽

pp. 693 ◽

Cited By ~ 6

Author(s):

Mehmet B Şentürk ◽

Yusuf Çakmak ◽

Halit Ataç ◽

Mehmet Şükrü Budak

Keyword(s):

Cesarean Section ◽

Rural Area ◽

Vaginal Birth ◽

Vaginal Birth After Cesarean ◽

Factors Associated

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Knowledge and Attitudes of Pregnant Thai Women Regarding Modes of Birth: A Hospital-Based Study in Southern Thailand

The Open Public Health Journal ◽

10.2174/1874944502114010484 ◽

2021 ◽

Vol 14 (1) ◽

pp. 484-491

Author(s):

Phawat Matemanosak ◽

Chitkasaem Suwanrath

Keyword(s):

Cesarean Section ◽

Multivariate Logistic Regression Analysis ◽

Vaginal Birth ◽

Singleton Pregnancy ◽

Poor Knowledge ◽

Thai Women ◽

Factors Associated ◽

Cesarean Birth ◽

Knowledge And Attitudes ◽

Positive Attitudes

Objective: This study aimed to determine the knowledge and attitudes of pregnant Thai women regarding modes of birth. Methods: A cross-sectional study was conducted at Songklanagarind Hospital. A total of 605 women with a singleton pregnancy and gestational age >20 weeks who attended an antenatal clinic from September 2018 to June 2019 were recruited. Women having a history of cesarean section, or any condition associated with indications for cesarean section, having a fetus with an obvious anomaly, could not read or write in the Thai language, or could not complete the questionnaire were excluded. Their knowledge and attitudes regarding modes of birth were evaluated through self-administered questionnaires. Results: Most women (69.4%) had poor knowledge scores (<5), with a median score of 3 (range, 0-9). Only 14.5% of women knew about serious complications of cesarean section in future pregnancies(placental adherence). Multivariate logistic regression analysis showed that factors associated with adequate knowledge scores (>5) were high educational levels (OR 2.06; 95% CI 1.23-3.47), high incomes (OR 1.96; 95%CI 1.32-2.90), and multiparity(OR 1.73; 95%CI 1.18-2.52). Most women had positive attitudes towards vaginal birth. Only 10.2% of women had a preference for cesarean birth. Factors associated with the preference for cesarean birth were advanced maternal age (OR 3.10; 95%CI 1.72-5.60), having an underlying disease (OR 3.61; 95% CI 1.79-7.25), and poor knowledge scores (OR 2.43; 95% CI 1.21-4.91). Conclusion: Most pregnant Thai women had poor knowledge of the modes of birth. However, the majority of women had positive attitudes towards vaginal birth.

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Factors Associated with Successful Trial of Labor after Cesarean Section: A Retrospective Cohort Study

Journal of Pregnancy ◽

10.1155/2018/6140982 ◽

2018 ◽

Vol 2018 ◽

pp. 1-5 ◽

Cited By ~ 4

Author(s):

Aram Thapsamuthdechakorn ◽

Ratanaporn Sekararithi ◽

Theera Tongsong

Keyword(s):

Cohort Study ◽

Cesarean Section ◽

Success Rate ◽

Retrospective Cohort Study ◽

Retrospective Cohort ◽

Vaginal Birth ◽

Factors Associated ◽

Audit System ◽

Trial Of Labor ◽

Potential Factor

Objective. To determine the effectiveness of trial of labor after cesarean section (TOLAC) and the factors associated with a successful TOLAC. Materials and Methods. A retrospective cohort study was conducted on consecutive singleton pregnancies with a previous single low-transverse cesarean section planned for TOLAC at a tertiary teaching hospital. The potential risk factors of a successful TOLAC were compared with those associated with a failed TOLAC. A simple audit system used in the first two years was also taken into account in the analysis as a potential factor for success. Results. During the study period, 2,493 women were eligible for TOLAC and 704 of them were scheduled for TOLAC, but finally 592 underwent TOLAC. Among them, 355 (60%) had a successful vaginal birth and 237 (40%) had a failed TOLAC. The independent factors associated with the success rate included the audit system, prior vaginal birth, low maternal BMI, and lower birth weight or gestational age, whereas induction of labor and recurring indications in previous pregnancy significantly increased the risk of having a failed TOLAC. Strikingly, the strongest predictor of a successful TOLAC was the audit system with OR of 6.4 (95%CI: 3.9-10.44), followed by a history of vaginal birth in previous pregnancies (OR: 3.2; 95%CI: 1.87-5.36). Conclusion. The simple audit system had the greatest impact on the success rate of TOLAC, instead of the less powerful obstetrical factors as reported in previous reports. The audit system is the only potential factor that could be strengthened to improve the success rate.

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