Incidence of Successful Trial of Normal Vaginal Birth After Previous One Cesarean Delivery

Abstract

Background: In the last years there is increased incidence in the rate of cesarean section (CS) birth worldwide leading to high number of women with previous cesarean deliveries, which can lead to increased risk of maternal mortality and morbidity. Objectives: This study is conducted to evaluate the rate of normal vaginal delivery (NVD) after one CS delivery.

Method: The study is conducted on 112 pregnant ladies having previous one CS delivery, admitted to labor ward in state of spontaneous labor. The study is conducted between 1-5-2019 to 1-12-2019. No interference done during labor apart from artificial rapture of membrane, information taken from the patient by direct questionnaire. Results: All of the112 pregnant ladies were having one previous CS delivery admitted to labor ward in state of spontaneous labor, their ages ranging from 15 to 45 years with mean age 25.5 years, their parity was between 2 to 10. Successful trial of labor after cesarean (STOLAC) was 64%. Causes of second CS were due to poor progress of labor in 50%, malpresentation in 25%, fetal distress in 15%, postdate in 5%, breech delivery in 5%. STOLAC was found increasing with the increase in number of NVD after CS, so that it is 58%when it is the first delivery after CS, 87% when it is second labor after CS ,97% when it is third labor after CS and 100% when it is forth delivery. There was significant relation with gravidity and parity p value (0.035, 0.021) and that most repeated cause for CS was poor progress of labor. Conclusions: We concluded that STOLAC was 64%, success rate dependent on proper consulting and proper evaluation of the pregnant ladies with previous CS delivery.