Factors Associated with The Success of Trial of Labor after One Previous One Cesarean Delivery at Baniwalid Hospital, 2016

Abstract

As a result of improvements in obstetric care, it is now relatively safe for an attempt at vaginal birth after Cesarean
section (VBAC) and recommended as a method to reduce the rate of Cesarean deliveries (CD) and subsequent
maternal and neonatal morbidity.
The study was cross sectional type, conducted in Bani-Walid General Hospital, from 1st of January to 31st of December
2016; included 364 women who had one previous cesarean section and went for trial of vaginal delivery. A structured
case sheet was designed to collect the following data: age, gravidity, parity, abortion, gestational age, mode of current
delivery, indication of current CS and neonatal outcome. Data analyzed by SPSS program version 21.
Out of 364 women studied, 139 (38.2%) were attempted VBAC and 225 (61.8%) were underwent cesarean section.
The most common indication for current cesarean section was dystocia (36%) followed by fetal distress (21.8%)
then mal-presentation (8.9%). There was significant difference among the women who had VBAC and those women
who underwent CS in their age, gravidity, parity, and cervical dilatation >4cm, P value were 0,047, 0.0001, 0.01, and
0.0001 respectively. The other characteristics (abortion, gestational age at delivery, and gender and birth weight of
neonate) of the women did not show any significant difference.
Patients without any contraindication to vaginal delivery, trail of labor after cesarean is a safe option. In this study,
successful VBAC was associated with the age of the patients, the past obstetric history, cervical dilatation, and history
of previous vaginal delivery.