FREQUENCY OF VAGINAL BIRTH AFTER CAESAREAN SECTION AND ITS FETOMATERNAL OUTCOME

Authors

  • Islam Bano Department of Gynae/ Obs. Army Medical College/CMH Rawalpindi-Pakistan
  • Sofia Naz Quetta Institute of Medical Sciences/CMH Quetta-Pakistany
  • Sidra Rashid Department of Gynae/Obs. CMH Rawalpindi-Pakistan
  • Yasmin Fatima Department of Gynae /Obs. City Institute of Medical Sciences Rawalpindi-Pakistan
  • Pareesae Humayun Department of Gynae /Obs. City Institute of Medical Sciences, Multan-Pakistan
  • Tabassum Muzaffar Army Medical College/ CMH Rawalpindi-Pakistan

DOI:

https://doi.org/10.55519/JAMC-04-12015

Keywords:

Vaginal Birth after Cesarean Section (VBAC), Trail of Labor after Cesarean Section, Cesarean Section, Vaginal Birth, Complications of VBAC

Abstract

Background: Vaginal birth after caesarean section (VBAC) is associated with reduced blood loss and transfusions, fewer infections, and fewer thromboembolic events as compared to caesarean delivery. The current rate of repeat caesarean after one previous caesarean is above the WHO standard of 15%. We aimed to determine the occurrence of VBAC and to determine the occurrence of feto-maternal outcomes in successful VBAC cases so that trials of VBAC can be given to carefully selected patients in order to reduce the rate of repeat caesarean section. Methods: The Combined Military Hospital (CMH) Rawalpindi's Obstetrics and Gynaecology department conducted this cross-sectional study from March 20 to September 19, 2021. After obtaining ethical committee approval, data was collected using a non-probability, consecutive sampling technique from 150 patients on a self-developed structured proforma. Patients between the age range of 20–35 years with a history of previous lower segment caesarean section, having gestational age between 37–41 weeks and who presented in spontaneous labour were included in this study. After taking informed consent, all women were given a trial of labour and the outcome of the trial was noted. Women were followed for the feto-maternal outcomes. The gathered information was analysed using SPSS version 25.0. Post-stratification, a p-value of 0.05 or lower on the chi-square test was deemed statistically significant. Results: Following a C-section, 28.67% of patients experienced successful vaginal births. PPH was found in 2.32%, scar dehiscence in 0.0%, low birth weight babies in 16.28%, APGAR score <7 at 1 minute was 23.26% and NICU admission as 9.30% in women undergoing vaginal birth after caesarean section. Conclusion: Appropriate selection of patients for the trial of VBAC can help reduce the higher rate of repeat caesarean section after a previous caesarean section and increase the chances of successful vaginal birth.

Author Biography

Islam Bano, Department of Gynae/ Obs. Army Medical College/CMH Rawalpindi-Pakistan

 

References

Betrán AP, Ye J, Moller AB, Zhang J, Gülmezoglu AM, Torloni MR. The increasing trend in caesarean section rates: global, regional and national estimates: 1990-2014. PloS One 2016;11(2):e0148343.

Souza JP, Gülmezoglu AM, Lumbiganon P, Laopaiboon M, Carroli G, Fawole B, et al. Caesarean section without medical indications is associated with an increased risk of adverse short-term maternal outcomes: the 2004-2008 WHO Global Survey on Maternal and Perinatal Health. BMC Med 2010;8(1):71.

Kiwan R, Al Qahtani N. Outcome of vaginal birth after cesarean section: A retrospective comparative analysis of spontaneous versus induced labor in women with one previous cesarean section. Ann Afr Med 2018;17(3):145–50.

Sakiyeva KZ, Abdelazim IA, Farghali M, Zhumagulova SS, Dossimbetova MB, Sarsenbaev MS, et al. Outcome of the vaginal birth after cesarean section during the second birth order in West Kazakhstan. J Family Med Prim Care 2018;7(6):1542–47.

Antoine C, Young BK. Cesarean section one hundred years 1920–2020: the Good, the Bad and the Ugly. J Perinat Med 2021;49(1):5–16.

Scheepers H, Scheepers HC, Koppes D, Koenders V, van Kuijk S. 779: National implementation of a decision aid/prediction model on practice variation, VBAC and adverse outcome. Am J Obstet Gynecol 2019;220(1):S509–10.

Morrison MJ, Tucker D, Holland MS. Reversing the trend of intervention: A VBAC success story. Women Birth 2022;35:29–30.

Foureur M, Turkmani S, Clack DC, Davis DL, Mollart L, Leiser B, et al. Caring for women wanting a vaginal birth after previous caesarean section: A qualitative study of the experiences of midwives and obstetricians. Women Birth 2017;30(1):3–8.

Alkhamis F. Pregnancy Outcome in Women with Previous One Cesarean Section, Experience from Kingdom of Saudi Arabia. Egyp J Hosp Med 2019;77(3):5109–13.

Masoom K, Asif R, Aara Y, Javaid N, Luqman S, Naeem S. Vaginal birth after cesarean section (VBAC) success rate and predictors of success in a tertiary care hospital. J Soc Obstet Gynaecol Pak 2021;11(2):75–81.

Chiniwar MA. Study of feto-maternal outcome in previous cesarean section. Int J Reprod Contracept Obstet Gynecol 2018;7(9):3848–51.

Tefera M, Assefa N, Teji Roba K, Gedefa L. Predictors of success of trial of labor after cesarean section: A nested case–control study at public hospitals in Eastern Ethiopia. Womens Health 2021;17:17455065211061960.

Trojano G, Damiani GR, Olivieri C, Villa M, Malvasi A, Alfonso R, et al. VBAC: antenatal predictors of success. Acta Biomed 2019;90(3):300–9.

Wu Y, Kataria Y, Wang Z, Ming WK, Ellervik C. Factors associated with successful vaginal birth after a cesarean section: a systematic review and meta-analysis. BMC Pregnancy Childbirth 2019;19(1):360.

Gupta S, Ganatra H. Vaginal birth after cesarean. Int J Reprod Contracept Obstet Gynecol 2019;8:2832–7.

Siraneh Y, Assefa F, Tesfaye M. Feto-maternal outcome of vaginal birth after cesarean and associated factors among mothers with previous cesarean scar at attat lord merry primary hospital, gurage zone, South Ethiopia. J Preg Child Health 2018;5(5):390.

Martin JA, Hamilton BE, Osterman MJK. Births in the United States, 2016. NCHS Data Brief 2017;287:1–8.

WHO. “Caesarean Section Rates Continue to Rise, amid Growing Inequalities. in Access.” [Internet]. Word Health Organization. [cited 2023 July 31]. Available form: www.who.int/news/item/16-06-2021-caesarean-section-rates-continue-to-rise-amid-growing-inequalities-in-access

Bellows P, Shah U, Hawley L, Drexler K, Gandhi M, Sangi-Haghpeykar H, et al. Evaluation of outcomes associated with trial of labor after cesarean delivery after a change in clinical practice guidelines in an academic hospital. J Matern Fetal Neonatal Med 2017;30(17):2092–6.

Birth after previous caesarean birth (Green-Top Guideline No. 45) [Internet]. RCOG. [cited 2023 Feb18]. Available from: https://www.rcog.org.uk/guidance/browse-all-guidance/green-top-guidelines/birth-after-previous-caesarean-birth-green-top-guideline-no-45/

Yaaqoub NK, Tawfeek RS, Hashim E. Impact of previous cesarean section scar thickness on next pregnancy outcome-Hospital based studyin Tikrit city. Tikrit Med J 2016;21(1)194–9.

Singh S, Dhama V, Chaudhary R, Karya U, Nanda K. Maternal and fetal outcome in pregnant women with previous one lower segment cesarean section. Int J Reprod Contracept Obstet Gynecol 2016;5(11):3815–20.

Qazi Q, Akhtar Z, Khan AH. Maternal and foetal outcome in successful vaginal birth after caesarean section versus repeat caesarean section. J Postgrad Med Inst 2013;27(4):414–8.

O'Dwyer V, Fattah C, Farah N, Hogan J, Kennelly MM, Turner MJ. Vaginal birth after caesarean section (VBAC) and maternal obesity. Arch Dis Child Fetal Neonatal Ed 2011;96(Suppl 1):Fa75–96.

Mekonnen BD, Asfaw AA. Predictors of successful vaginal birth after a cesarean section in Ethiopia: a systematic review and meta-analysis. BMC Pregnancy Childbirth 2023;23(1):65.

Additional Files

Published

2023-10-10