Successful Vaginal Birth Subsequent to Cesarean Section

Abd Elrehem Zedan, HEBA; Hassan, Hanan; Shehta, Doaa

doi:10.21608/mnj.2024.216259.1325

Successful Vaginal Birth Subsequent to Cesarean Section

Document Type : Original Article

Authors

¹ Womans health and midwifery nursing department

² Maternal and Newborn Health Nursing, Faculty of Nursing, Beni-Suef University

³ Maternal and Newborn Health Nursing, Faculty of Nursing, Helwan University

10.21608/mnj.2024.216259.1325

Abstract

Successful vaginal birth after cesarean section is more comfortable than repeat elective cesarean section. Trial of labor should take into consideration the patient’s preference, together with the proper setting. Aim: identify factors affecting the successful vaginal birth subsequent to cesarean section in order to develop a predictive score for successful trial. Subject & Methods: a prospective study design was used at the delivery unit in delivery unit in Mansoura University, Egypt, Egypt. 200 parturient women who were selected purposively with previous one lower segment cesarean section. A structured interviewing schedule, maternal and neonatal assessment sheet, partograph, labor record; were used for data collection. Results: revealed that vaginal birth after cesarean section was successful in 76.5% of women and the rest 23.5% had failure in vaginal birth after cesarean section and underwent emergency repeated cesarean section. Positive factors which increase the likelihood of successful vaginal birth after cesarean were; younger women age, gestational age, parity, duration between the previous cesarean section and the present pregnancy, history of prior vaginal birth before the previous CS, and bishop score as well as neonatal weight. Conclusion: maternal age > 25 years, gestational age >40 weeks, parity more than three, duration between the previous cesarean section and s high quality care and proper counseling from the nurse midwife. Furthermore, factors associated with failure in the successful VBAC should be identified and receive the best possible management as well as women with prior cesarean deliveries require special management, both antenatal, in labor and delivery.

Keywords

Main Subjects