Frequency of Successful Vaginal Birth after Previous One Cesarean Section in Low Risk Pregnant Women

Abstract

Abstract

Aims and Objectives:  determine the frequency of successful vaginal birth after cesarean section VBAC in low risk pregnant women.

Study Design:  It was a descriptive study.

Duration:  From 2010 to 2014.

Material and Method:  A total of 130 cases who were at term (37)+ weeks of gestation, between 20 – 40 years of age with a single prior cesarean section, presenting in their next pregnancy (G₂) with a single, live fetus in cephalic presentation and those who given the consent of trial of VBAC were included in the study while high risk cases e.g. hypertensive disorders, gestational diabetes mellitus, placental abruption etc were excluded from this review. All these cases were collected from Maternity and Children's hospital Hail, Kingdom of Saudia Arabia.

Results:  In our study, 63.85% of the cases were between 20 – 30 years of age while 36.15% (n = 47) were between 31 – 40 years, mean ± sd was calculated as 27.24 ± 3.52 years, mean gestational age was 38.43 ± 2.43 weeks while successful vaginal birth after cesarean section was recorded in 78.46% (n = 102) while 21.54% (n = 28) had failed trial of VBAC.

Conclusion:  Higher success rate of vaginal birth after one cesarean section in low risk pregnant women is recorded while no significant adverse outcome in these cases is found. However, in our setup it is safe and cost-effective as well.

Key Words:  Cesarean delivery, low risk, VBAC, success rate, safe, cost effective.