Delivery outcome and predictors of successful vaginal birth after primary cesarean delivery: A comparative study
Objectives: This study aimed to determine the rate and predictive factors for successful vaginal birth after cesarean delivery, and measure maternal and neonatal outcomes of VBAC following one previous cesarean delivery. Methods: In this hospital-based prospective study, sixty women with one prev...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Babcock Medical Society
2022-06-01
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| Series: | Babcock University Medical Journal |
| Subjects: | |
| Online Access: | https://bumj.babcock.edu.ng/index.php/bumj/article/view/99 |
| _version_ | 1818532779597496320 |
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| author | Adebayo Adewole Adegboyega Fawole Munirdeen Ijaiya Abiodun Adeniran Adeshina Kikelomo Abiodun Aboyeji |
| author_facet | Adebayo Adewole Adegboyega Fawole Munirdeen Ijaiya Abiodun Adeniran Adeshina Kikelomo Abiodun Aboyeji |
| author_sort | Adebayo Adewole |
| collection | DOAJ |
| description |
Objectives: This study aimed to determine the rate and predictive factors for successful vaginal birth after cesarean delivery, and measure maternal and neonatal outcomes of VBAC following one previous cesarean delivery.
Methods: In this hospital-based prospective study, sixty women with one previous CD (subjects) who attempted VBAC and another sixty without previous CD (controls) carrying singleton cephalic fetuses matched for maternal age, parity, and gestational age were compared. The primary outcome measures were successful vaginal delivery and its predictors. Data were analyzed using SPSS (version 22.0), and p<0.05 was significant.
Results: Out of 1768 deliveries, 105 (5.9%) had one previous CD; 57.1% (60/105) attempted while 61.7% (37/60) had successful VBAC; 23 (38.3%) had failed VBAC and repeat CD, while 14 (23.3%) of the control group had CD. The significant predictors of successful VBAC were cervical dilatation ≥4cm on admission (p=0.003), maternal age >35 years (p=0.019); and augmentation of labor (p=0.020); while previous vaginal delivery (p=0.108), parity (p=0.706), BMI (0.240), and inter-delivery interval (p=0.265) were not statistically significant. The maternal and neonatal outcomes were not statistically different among women who had successful VBAC after one CD compared to women without previous CD. Important morbidities following VBAC included uterine rupture (3.3%) and primary postpartum hemorrhage (6.7%). There was no peripartum hysterectomy or maternal death; the perinatal mortality rate was 16.7/1,000 live births for women who attempted VBAC while no perinatal death was recorded among the controls.
Conclusion: VBAC is safe, and its outcome is comparable to women without previous CD.
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| first_indexed | 2024-12-11T17:49:59Z |
| format | Article |
| id | doaj.art-41371e9afcd44798b97122f972bef97b |
| institution | Directory Open Access Journal |
| issn | 2465-6666 2756-4657 |
| language | English |
| last_indexed | 2024-12-11T17:49:59Z |
| publishDate | 2022-06-01 |
| publisher | Babcock Medical Society |
| record_format | Article |
| series | Babcock University Medical Journal |
| spelling | doaj.art-41371e9afcd44798b97122f972bef97b2022-12-22T00:56:14ZengBabcock Medical SocietyBabcock University Medical Journal2465-66662756-46572022-06-015110.38029/bumj.v5i1.99Delivery outcome and predictors of successful vaginal birth after primary cesarean delivery: A comparative studyAdebayo Adewole0Adegboyega Fawole1Munirdeen Ijaiya2Abiodun Adeniran3Adeshina Kikelomo4Abiodun Aboyeji5Fertility and Minimal Access Surgery Unit, Department of Obstetrics and Gynaecology, Federal Medical Center Lokoja, Nigeria.Department of Obstetrics & Gynecology, University of Ilorin/ University of Ilorin Teaching Hospital, Ilorin, NigeriaDepartment of Obstetrics & Gynecology, University of Ilorin/ University of Ilorin Teaching Hospital, Ilorin, NigeriaDepartment of Obstetrics & Gynecology, University of Ilorin/ University of Ilorin Teaching Hospital, Ilorin, NigeriaDepartment of Obstetrics & Gynecology, University of Ilorin/ University of Ilorin Teaching Hospital, Ilorin, NigeriaDepartment of Obstetrics & Gynecology, University of Ilorin/ University of Ilorin Teaching Hospital, Ilorin, Nigeria Objectives: This study aimed to determine the rate and predictive factors for successful vaginal birth after cesarean delivery, and measure maternal and neonatal outcomes of VBAC following one previous cesarean delivery. Methods: In this hospital-based prospective study, sixty women with one previous CD (subjects) who attempted VBAC and another sixty without previous CD (controls) carrying singleton cephalic fetuses matched for maternal age, parity, and gestational age were compared. The primary outcome measures were successful vaginal delivery and its predictors. Data were analyzed using SPSS (version 22.0), and p<0.05 was significant. Results: Out of 1768 deliveries, 105 (5.9%) had one previous CD; 57.1% (60/105) attempted while 61.7% (37/60) had successful VBAC; 23 (38.3%) had failed VBAC and repeat CD, while 14 (23.3%) of the control group had CD. The significant predictors of successful VBAC were cervical dilatation ≥4cm on admission (p=0.003), maternal age >35 years (p=0.019); and augmentation of labor (p=0.020); while previous vaginal delivery (p=0.108), parity (p=0.706), BMI (0.240), and inter-delivery interval (p=0.265) were not statistically significant. The maternal and neonatal outcomes were not statistically different among women who had successful VBAC after one CD compared to women without previous CD. Important morbidities following VBAC included uterine rupture (3.3%) and primary postpartum hemorrhage (6.7%). There was no peripartum hysterectomy or maternal death; the perinatal mortality rate was 16.7/1,000 live births for women who attempted VBAC while no perinatal death was recorded among the controls. Conclusion: VBAC is safe, and its outcome is comparable to women without previous CD. https://bumj.babcock.edu.ng/index.php/bumj/article/view/99Trial of scarpredictorssuccessful trial of scarfailed trial of scars |
| spellingShingle | Adebayo Adewole Adegboyega Fawole Munirdeen Ijaiya Abiodun Adeniran Adeshina Kikelomo Abiodun Aboyeji Delivery outcome and predictors of successful vaginal birth after primary cesarean delivery: A comparative study Babcock University Medical Journal Trial of scar predictors successful trial of scar failed trial of scars |
| title | Delivery outcome and predictors of successful vaginal birth after primary cesarean delivery: A comparative study |
| title_full | Delivery outcome and predictors of successful vaginal birth after primary cesarean delivery: A comparative study |
| title_fullStr | Delivery outcome and predictors of successful vaginal birth after primary cesarean delivery: A comparative study |
| title_full_unstemmed | Delivery outcome and predictors of successful vaginal birth after primary cesarean delivery: A comparative study |
| title_short | Delivery outcome and predictors of successful vaginal birth after primary cesarean delivery: A comparative study |
| title_sort | delivery outcome and predictors of successful vaginal birth after primary cesarean delivery a comparative study |
| topic | Trial of scar predictors successful trial of scar failed trial of scars |
| url | https://bumj.babcock.edu.ng/index.php/bumj/article/view/99 |
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