Background: There is an increased aversion to caesarean birth and high premium to vaginal birth especially in developing countries. Trial of vaginal birth after caesarean is therefore readily accepted and successful vaginal birth highly celebrated especially in sub Saharan Africa. This reduces both the caesarean section rate and repeat caesarean morbidities yet optimal conduct of trial of vaginal birth after caesarean remains a compelling obstetric challenge. This study therefore appraised the correlates of successful trial of vaginal birth after caesarean to contribute data to the increasing evidence for optimal trial of vaginal birth after caesarean. Methods: This was a case series observational study of 334 women who had trial of vaginal birth after a primary caesarean section at a mission hospital between June 2009 and April 2016. Results: Successful VBAC rate in this study was 53.3%. The predictors from the primary CS were non-recurrent indications (OR 2.0, P: 0.01), primary CS at tertiary health facility (OR 2.1, P: 0.045) and obstetrician surgeon (OR 1.8, P: 0.02). Others were previous vaginal delivery (OR.3.2, P <0.001), previous VBAC (OR 2.6, P: 0.02), spontaneous labor (OR 1.6, P: 0.06) and induced labor (OR. 0.5, P: 0.01). Conclusion: Trial of vaginal birth after caesarean is a viable option to reduce the increasing caesarean section rate and its associated morbidity especially in high parity settings. It only requires quality management particularly strict selection criteria and conscious labor supervision to optimize its benefits.
| Published in | Journal of Gynecology and Obstetrics (Volume 6, Issue 2) |
| DOI | 10.11648/j.jgo.20180602.12 |
| Page(s) | 26-30 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2018. Published by Science Publishing Group |
After Caesarean, Predictive, Trial, Vaginal Birth
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APA Style
Ikeanyi Eugene Maduabuchukwu, Ibrahim Isa Ayuba. (2018). Vaginal Birth After Caesarean: Any Predictive Model. Journal of Gynecology and Obstetrics, 6(2), 26-30. https://doi.org/10.11648/j.jgo.20180602.12
ACS Style
Ikeanyi Eugene Maduabuchukwu; Ibrahim Isa Ayuba. Vaginal Birth After Caesarean: Any Predictive Model. J. Gynecol. Obstet. 2018, 6(2), 26-30. doi: 10.11648/j.jgo.20180602.12
AMA Style
Ikeanyi Eugene Maduabuchukwu, Ibrahim Isa Ayuba. Vaginal Birth After Caesarean: Any Predictive Model. J Gynecol Obstet. 2018;6(2):26-30. doi: 10.11648/j.jgo.20180602.12
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Download@article{10.11648/j.jgo.20180602.12,
author = {Ikeanyi Eugene Maduabuchukwu and Ibrahim Isa Ayuba},
title = {Vaginal Birth After Caesarean: Any Predictive Model},
journal = {Journal of Gynecology and Obstetrics},
volume = {6},
number = {2},
pages = {26-30},
doi = {10.11648/j.jgo.20180602.12},
url = {https://doi.org/10.11648/j.jgo.20180602.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20180602.12},
abstract = {Background: There is an increased aversion to caesarean birth and high premium to vaginal birth especially in developing countries. Trial of vaginal birth after caesarean is therefore readily accepted and successful vaginal birth highly celebrated especially in sub Saharan Africa. This reduces both the caesarean section rate and repeat caesarean morbidities yet optimal conduct of trial of vaginal birth after caesarean remains a compelling obstetric challenge. This study therefore appraised the correlates of successful trial of vaginal birth after caesarean to contribute data to the increasing evidence for optimal trial of vaginal birth after caesarean. Methods: This was a case series observational study of 334 women who had trial of vaginal birth after a primary caesarean section at a mission hospital between June 2009 and April 2016. Results: Successful VBAC rate in this study was 53.3%. The predictors from the primary CS were non-recurrent indications (OR 2.0, P: 0.01), primary CS at tertiary health facility (OR 2.1, P: 0.045) and obstetrician surgeon (OR 1.8, P: 0.02). Others were previous vaginal delivery (OR.3.2, P <0.001), previous VBAC (OR 2.6, P: 0.02), spontaneous labor (OR 1.6, P: 0.06) and induced labor (OR. 0.5, P: 0.01). Conclusion: Trial of vaginal birth after caesarean is a viable option to reduce the increasing caesarean section rate and its associated morbidity especially in high parity settings. It only requires quality management particularly strict selection criteria and conscious labor supervision to optimize its benefits.},
year = {2018}
}
TY - JOUR T1 - Vaginal Birth After Caesarean: Any Predictive Model AU - Ikeanyi Eugene Maduabuchukwu AU - Ibrahim Isa Ayuba Y1 - 2018/05/17 PY - 2018 N1 - https://doi.org/10.11648/j.jgo.20180602.12 DO - 10.11648/j.jgo.20180602.12 T2 - Journal of Gynecology and Obstetrics JF - Journal of Gynecology and Obstetrics JO - Journal of Gynecology and Obstetrics SP - 26 EP - 30 PB - Science Publishing Group SN - 2376-7820 UR - https://doi.org/10.11648/j.jgo.20180602.12 AB - Background: There is an increased aversion to caesarean birth and high premium to vaginal birth especially in developing countries. Trial of vaginal birth after caesarean is therefore readily accepted and successful vaginal birth highly celebrated especially in sub Saharan Africa. This reduces both the caesarean section rate and repeat caesarean morbidities yet optimal conduct of trial of vaginal birth after caesarean remains a compelling obstetric challenge. This study therefore appraised the correlates of successful trial of vaginal birth after caesarean to contribute data to the increasing evidence for optimal trial of vaginal birth after caesarean. Methods: This was a case series observational study of 334 women who had trial of vaginal birth after a primary caesarean section at a mission hospital between June 2009 and April 2016. Results: Successful VBAC rate in this study was 53.3%. The predictors from the primary CS were non-recurrent indications (OR 2.0, P: 0.01), primary CS at tertiary health facility (OR 2.1, P: 0.045) and obstetrician surgeon (OR 1.8, P: 0.02). Others were previous vaginal delivery (OR.3.2, P <0.001), previous VBAC (OR 2.6, P: 0.02), spontaneous labor (OR 1.6, P: 0.06) and induced labor (OR. 0.5, P: 0.01). Conclusion: Trial of vaginal birth after caesarean is a viable option to reduce the increasing caesarean section rate and its associated morbidity especially in high parity settings. It only requires quality management particularly strict selection criteria and conscious labor supervision to optimize its benefits. VL - 6 IS - 2 ER -
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