Vaginal birth after cesarean delivery among women who attended Al Sadder teaching hospital, Misan, Iraq, 2016

Abstract

A trial of labor has become the advisable choice for delivery in women with one previous low transverse segment and no recurring indication for elective repeated CS. However, a controversy exists regarding the safety and efficacy. This study was aimed to assessed Vaginal Birth after Cesarean Delivery among Women. A prospective study was conducted in Missan province at Al-Sadder Teaching Hospital during the period of January 2016 to January 2017. One hundred women with a single previous lower segment, incision attended the maternity unit with labor pain were selected. All data were collected through direct interview. Main characteristics of the study group were described using figures and tables comparing VBAC and CS groups. The data entered and analyzed using by SPSS software version 20. Statistically significant differences were defined as p < 0.05. The results of this study revealed that the mean age was 28 years (± 2.2 SD); 89% were housewives, 73% have had 2-5 previous conceptions, and 80% reported less than two years between the previous CS and the current delivery. This study showed that 55% of the total study group delivered vaginally. The higher incidence of VBAC was among women aged 15-24 and 25-34 year. Significantly the majority of housewives were more likely to deliver vaginally compared with. The highest incidence of successful VBAC was among women when the interval between the previous CS and the current delivery is <2 years. We concluded the study revealed that VBAC is an acceptable choice for delivery, especially if women have been selected with proper criteria with appropriate timing and close supervision.