Incidence Rate and Factors Associated with Successful Vaginal Birth after a Cesarean Section at a Tertiary Maternity Hospital
DOI:
https://doi.org/10.56056/418Keywords:
Cesarean section, Labor, Labor, Vaginal delivery, Vaginal birth after Cesarean-sectionAbstract
Background and objectives: Globally rates of vaginal birth after one Cesarean section vary significantly. However, in the recent rears it has been gaining popularity due to its potential benefits. The aim of this study is to assess the incidence of successful vaginal birth after Cesarean-section and associated factors
Methods: This study, conducted from January 1, 2023, to January 1, 2024, at Maternity Teaching Hospital in Erbil, Kurdistan, used two designs: a cross-sectional study to determine the incidence of successful vaginal delivery after Cesarean-section and a case-control study to assess associated factors. Factors studied included maternal age, gestational age, antenatal care, parity, inter-delivery interval, labor duration, Bishop score, and newborn weight.
Results: The average age of the cases (28.4 ± 6.1 years) was significantly higher than that of the controls (26.4 ± 6.5 years), (p-value< 0.001). About half (50.6%) of the control group were primiparous, compared to 32.9% of the cases, also significant at p < 0.001. The average labor duration for cases was 3.66 hours, significantly longer than the controls' average of 2.88 hours (p = 0.002). There was a significant positive correlation between age and the number of previous vaginal deliveries before CS (rho = 0.343, p < 0.001) and prior vaginal birth after cesarean-section (rho = 0.415, p < 0.001).
Conclusion: Vaginal birth after Cesarean-section is considered a safe delivery option, and women with at least one Cesarean section should be educated and encouraged to pursue it.
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