Vaginal birth after previous caesarean section in women at Al-Wahda hospital Derna, Libya

Authors

  • Soad Ajroud Department of Obstetrics and Gynecology, Omar Elmukhtar University, Al-Wahda hospital, Derna, Libya
  • Raga A. Elzahaf Departement of Public Health, College of Medical Technology, Derna, Libya MENA Research Group, Libya
  • Fawzia A. G. Arhaiam Departement of Public Health, College of Medical Technology, Derna, Libya

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20214625

Keywords:

Vaginal birth, Previous caesarean section, Derna, Libya

Abstract

Background: Vaginal birth after caesarean section is one strategy that has been developed to decrease the rate of caesarean section.

Methods: The prospective observational study was carried out over a period of 01 January 2017 to 31 December 2018 years. VBAC was routinely offered at Al-Wahda hospital Derna to women fulfilling the criteria for trial of scar, according to the hospital protocol.

Results: A total of 5018 deliveries took place in the study duration, there were 1039 (20.7%) had previous one caesarean section, out of which 319 (30.7%) were the number of underwent repeat caesarean section and 720 (69.3%) were the number of VBAC. The indications for emergency repeat caesarean section at Al-Wahda hospital was (29.3%) malpresentation, (24.45%) FD, (13.47) postdate, (11.59) obstracted lab and abruptiopl (5.95%). Anemia and difficult intubation were observed in repeated caesarean section.

Conclusions: This study concluded that there is a high chance of success in a trial of labor. These findings might help clinicians and women in the decision-making for the mode of delivery when it comes to pregnancy with a previous caesarean section. Women are explained about the option of trial of scar and told about the risk associated with a repeat CS, so many CSs can be avoided.

 

 

References

Senturk MB, Cakmak Y, Atac H, Budak MS. Factors associated with successful vaginal birth after cesarean section and outcomes in rural area of Anatolia. Int J Womens Health. 2015;7:693-7.

Brill Y, Windrim R. Vaginal birth after Caesarean section: review of antenatal predictors of success. J Obstet Gynaecol Can. 2003;25(4):275-86.

Mozurkewich EL, Hutton EK. Elective repeat cesarean delivery versus trial of labor: a meta-analysis of the literature from 1989 to 1999. Am J Obstet Gynecol. 2000;183(5):1187-97.

Betrán AP, Gulmezoglu AM, Robson M, Merialdi M, Souza JP, Wojdyla D, et al. WHO global survey on maternal and perinatal health in Latin America: classifying caesarean sections. Reprod Health. 2009;6:18.

RCOG. Green-top Guideline No. 45. Birth after Previous Caesarean Birth, 2015. Available at: https://www.rcog.org.uk/en/guidelinesresearchservices/guidelines/gtg45. Acessed on 20 July 2021.

Sharvit M, Rubinstein T, Ravid D, Maor G, Fishman A, Shental T. Patients with high-risk pregnancies and complicated deliveries have an increased risk of maternal postpartum readmissions. Arch Gynecol Obstet. 2014;290.

Nair M, Kurinczuk JJ, Knight M. Establishing a National Maternal Morbidity Outcome Indicator in England: A Population-Based Study Using Routine Hospital Data. PLoS One. 2016;11(4):0153370.

American College of Obstetricians and Gynecologists. ACOG practice bulletin no 115: Vaginal birth after previous caesarean delivery. Obstet Gynecol. 2010;116:450-63.

Farquhar CM, Li Z, Lensen S, McLintock C, Pollock W, Peek MJ, et al. Incidence, risk factors and perinatal outcomes for placenta accreta in Australia and New Zealand: a case-control study. BMJ Open. 2017;7(10):01771.

Silver RM, Landon MB, Rouse DJ, Leveno KJ, Spong CY, Thom EA, et al. Maternal morbidity associated with multiple repeat cesarean deliveries. Obstet Gynecol. 2006;107(6):1226-3.

Akker T, Brobbel C, Dekkers OM, Bloemenkamp KWM. Prevalence, Indications, Risk Indicators, and Outcomes of Emergency Peripartum Hysterectomy Worldwide: A Systematic Review and Meta-analysis. Obstet Gynecol. 2016;128(6):1281-94.

Elzahaf RA, Ajroud S. Prevalence and indication of caesarean section in Al-Wahda Hospital, Derna, Libya: A retrospective study. Libyan J Med Sci. 2018;2:68-72.

Gregory KD, Korst LM, Cane P, Platt LD, Kahn K. Vaginal birth after cesarean and uterine rupture rates in California. Obstet Gynecol. 1999;94(6):985-9.

Dhall K, Mittal SC, Grover V, Dhall GI. Childbirth following primary cesarean section--evaluation of a scoring system. Int J Gynaecol Obstet. 1987;25(3):199-205.

Clarke SC, Taffel S. Changes in cesarean delivery in the United States, 1988 and 1993. Birth. 1995;22(2):63-7.

Puliyath, G. Vaginal birth after caesarean section (VBAC): a descriptive study from Middle East. Intern J Gynecol Obstet. 2010;12(2):20.

ACOG Practice bulletin no. 115: Vaginal birth after previous cesarean delivery. Obstet Gynecol. 2010;116(2):450-463.

Landon MB, Hauth JC, Leveno KJ, Spong CY, Leindecker S, Varner MW, et al. Maternal and perinatal outcomes associated with a trial of labor after prior caesarean delivery. N Engl J Med. 2004;351:2581-9.

McMahon MJ, Luther ER, Bowes WA, Olshan AF. Comparison of a trial of labor with an elective second cesarean section. N Engl J Med. 1996;335(10):689-95.

Phelan JP, Clark SL, Diaz F, Paul RH. Vaginal birth after caesarean. Am J Obstet Gynecol. 1987;157:1510-5.

Dayal V. Trial of vaginal delivery in cases of single previous caesarean section. J Obstet Gynecol. 1985;35:445-50.

Horowitz BJ, Stanley W, Lippmann L. Once a caesarean, always a caesarean. Obstet Gynaec Survey. 1981;36:592-7.

Traynor JD, Peaceman AM. Maternal hospital charges associated with trial of labor versus elective repeat cesarean section. Birth. 1998;25(2):81-4.

Gibbs CE. Planned vaginal delivery following caesarean section. Clin Obstet Gyn. 1980;23:507.

Sharvit M, Rubinstein T, Ravid D, Maor G, Fishman A, Shental T. Patients with high-risk pregnancies and complicated deliveries have an increased risk of maternal postpartum readmissions. Arch Gynecol Obstet. 2014;290(4):629-33.

Marshall NE, Fu R, Guise JM. Impact of multiple cesaren deliveries on maternal morbidity: A systematic Review. Am J Obstet Gynecol. 2011;205(3):262.

Hansen AK, Wisborg K, Uldbjerg N, Henriksen TB. Risk of respiratory morbidity in term infants delivered by elective caesarean section: cohort study. BMJ. 2008;336(7635):85-7.

Tharaux C, Carmona E, Colle MH, Bréart G. Postpartum maternal mortality and cesarean delivery. Obstet Gynecol. 2006;108(3):541-8.

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Published

2021-11-25

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Original Research Articles