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Vaginal Birth After Caesarean: Any Predictive Model

Received: 26 March 2018     Accepted: 15 April 2018     Published: 17 May 2018
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Abstract

Background: There is an increased aversion to caesarean birth and high premium to vaginal birth especially in developing countries. Trial of vaginal birth after caesarean is therefore readily accepted and successful vaginal birth highly celebrated especially in sub Saharan Africa. This reduces both the caesarean section rate and repeat caesarean morbidities yet optimal conduct of trial of vaginal birth after caesarean remains a compelling obstetric challenge. This study therefore appraised the correlates of successful trial of vaginal birth after caesarean to contribute data to the increasing evidence for optimal trial of vaginal birth after caesarean. Methods: This was a case series observational study of 334 women who had trial of vaginal birth after a primary caesarean section at a mission hospital between June 2009 and April 2016. Results: Successful VBAC rate in this study was 53.3%. The predictors from the primary CS were non-recurrent indications (OR 2.0, P: 0.01), primary CS at tertiary health facility (OR 2.1, P: 0.045) and obstetrician surgeon (OR 1.8, P: 0.02). Others were previous vaginal delivery (OR.3.2, P <0.001), previous VBAC (OR 2.6, P: 0.02), spontaneous labor (OR 1.6, P: 0.06) and induced labor (OR. 0.5, P: 0.01). Conclusion: Trial of vaginal birth after caesarean is a viable option to reduce the increasing caesarean section rate and its associated morbidity especially in high parity settings. It only requires quality management particularly strict selection criteria and conscious labor supervision to optimize its benefits.

Published in Journal of Gynecology and Obstetrics (Volume 6, Issue 2)
DOI 10.11648/j.jgo.20180602.12
Page(s) 26-30
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2018. Published by Science Publishing Group

Keywords

After Caesarean, Predictive, Trial, Vaginal Birth

References
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[2] Cunningham GF, Leveno KJ, Bloom SL Hauth JC, Rouse DJ, Spong CY. Prior caesarian delivery. In: F Cunningham GF, editor. Williams Obstetrics. 23rd ed. New York: McGraw Hill; 2010. pp. 565–76.
[3] John L. Powell. The Kerr Incision: John Martin Munro Kerr 1868-1960). Journal of Pelvic Surgery 2001; 7(3): 177-178.
[4] Guise JM, Eden K, Emeis C, Denman MA, Marshall N, Fu RR et al. Vaginal birth after caesarean: new insights. Evid Rep Technol Assess 2010; (191): 1-397.
[5] Pratiksha Gupta, Ishrat Jahan, Gelabhai R. Jograjiya. Is vaginal delivery safe after previous lower segment caesarean section in developing country. Nig Med. J 2014; 55(3):260-265.
[6] Guidelines for Vaginal birth After Previous Caesarea Birth: Society of Obstetrics and Gynaecology of Canada (SOGC) clinical Practice Guidelines. J Obstet Gynaecol Can 2005; 27(2): 164-174.
[7] Weinstein D, Benshushan A, Tanos V, Zilberstein R, Rojansky N. Predictive score for Vaginal birth after caesarean section. Am J Obstet Gynecol 1996; 174:192-8
[8] Flamm BL, Geiger AM. Vaginal birth after Caesarean delivery: an admission scoring system. Obstet Gynecol 1997; 90:907–10.
[9] Olagbuji B, Ezeanochie M, Okonofua F. Predictors of successful vaginal delivery after previous caesarean section in a Nigerian tertiary hospital. J Obstet Gynaecol 2010; 30(6): 582-5.
[10] Aaron B Caughey, Carl V Smith. Vaginal Birth after Caesarean. Medscape 2015.
[11] Shimonovitz S, Botosneano A, Hochner-Celnikier D. Successful first vaginal birth after Cesarean section: a predictor of reduced risk for uterine rupture in subsequent deliveries. Indian Med Assoc J 2000; 2:526–8.
[12] Biswass A. Management of previous caesarean section. Curr Opin Obstet Gynecol 2003; 15: 123-9.
[13] Eugene M Ikeanyi, Alphonsus N Onyiriuka. Comparative Analysis of Maternal and Perinatal Outcomes of Trial of Vaginal Birth and Planned Repeat Caesarean section following a prior Caesarean BJMMR 2016;14(1):1-9.
[14] Durnwald C, Ehrenberg H, Mercer H. The impact of maternal obesity and weight gain on VBAC success. Am J Obstet Gynecol 2003; 189:S205.
[15] Carroll CS Sr,. Magann EF, Chauhaan SP, Klauser CK, Morrison JC. Vaginal birth after caesarean section versus elective repeat caesarean delivery: weight-based outcomes. Am J Obstet Gynecol 2003, 188: 1516-1520.
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  • APA Style

    Ikeanyi Eugene Maduabuchukwu, Ibrahim Isa Ayuba. (2018). Vaginal Birth After Caesarean: Any Predictive Model. Journal of Gynecology and Obstetrics, 6(2), 26-30. https://doi.org/10.11648/j.jgo.20180602.12

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    ACS Style

    Ikeanyi Eugene Maduabuchukwu; Ibrahim Isa Ayuba. Vaginal Birth After Caesarean: Any Predictive Model. J. Gynecol. Obstet. 2018, 6(2), 26-30. doi: 10.11648/j.jgo.20180602.12

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    AMA Style

    Ikeanyi Eugene Maduabuchukwu, Ibrahim Isa Ayuba. Vaginal Birth After Caesarean: Any Predictive Model. J Gynecol Obstet. 2018;6(2):26-30. doi: 10.11648/j.jgo.20180602.12

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  • @article{10.11648/j.jgo.20180602.12,
      author = {Ikeanyi Eugene Maduabuchukwu and Ibrahim Isa Ayuba},
      title = {Vaginal Birth After Caesarean: Any Predictive Model},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {6},
      number = {2},
      pages = {26-30},
      doi = {10.11648/j.jgo.20180602.12},
      url = {https://doi.org/10.11648/j.jgo.20180602.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20180602.12},
      abstract = {Background: There is an increased aversion to caesarean birth and high premium to vaginal birth especially in developing countries. Trial of vaginal birth after caesarean is therefore readily accepted and successful vaginal birth highly celebrated especially in sub Saharan Africa. This reduces both the caesarean section rate and repeat caesarean morbidities yet optimal conduct of trial of vaginal birth after caesarean remains a compelling obstetric challenge. This study therefore appraised the correlates of successful trial of vaginal birth after caesarean to contribute data to the increasing evidence for optimal trial of vaginal birth after caesarean. Methods: This was a case series observational study of 334 women who had trial of vaginal birth after a primary caesarean section at a mission hospital between June 2009 and April 2016. Results: Successful VBAC rate in this study was 53.3%. The predictors from the primary CS were non-recurrent indications (OR 2.0, P: 0.01), primary CS at tertiary health facility (OR 2.1, P: 0.045) and obstetrician surgeon (OR 1.8, P: 0.02). Others were previous vaginal delivery (OR.3.2, P <0.001), previous VBAC (OR 2.6, P: 0.02), spontaneous labor (OR 1.6, P: 0.06) and induced labor (OR. 0.5, P: 0.01). Conclusion: Trial of vaginal birth after caesarean is a viable option to reduce the increasing caesarean section rate and its associated morbidity especially in high parity settings. It only requires quality management particularly strict selection criteria and conscious labor supervision to optimize its benefits.},
     year = {2018}
    }
    

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  • TY  - JOUR
    T1  - Vaginal Birth After Caesarean: Any Predictive Model
    AU  - Ikeanyi Eugene Maduabuchukwu
    AU  - Ibrahim Isa Ayuba
    Y1  - 2018/05/17
    PY  - 2018
    N1  - https://doi.org/10.11648/j.jgo.20180602.12
    DO  - 10.11648/j.jgo.20180602.12
    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
    SP  - 26
    EP  - 30
    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20180602.12
    AB  - Background: There is an increased aversion to caesarean birth and high premium to vaginal birth especially in developing countries. Trial of vaginal birth after caesarean is therefore readily accepted and successful vaginal birth highly celebrated especially in sub Saharan Africa. This reduces both the caesarean section rate and repeat caesarean morbidities yet optimal conduct of trial of vaginal birth after caesarean remains a compelling obstetric challenge. This study therefore appraised the correlates of successful trial of vaginal birth after caesarean to contribute data to the increasing evidence for optimal trial of vaginal birth after caesarean. Methods: This was a case series observational study of 334 women who had trial of vaginal birth after a primary caesarean section at a mission hospital between June 2009 and April 2016. Results: Successful VBAC rate in this study was 53.3%. The predictors from the primary CS were non-recurrent indications (OR 2.0, P: 0.01), primary CS at tertiary health facility (OR 2.1, P: 0.045) and obstetrician surgeon (OR 1.8, P: 0.02). Others were previous vaginal delivery (OR.3.2, P <0.001), previous VBAC (OR 2.6, P: 0.02), spontaneous labor (OR 1.6, P: 0.06) and induced labor (OR. 0.5, P: 0.01). Conclusion: Trial of vaginal birth after caesarean is a viable option to reduce the increasing caesarean section rate and its associated morbidity especially in high parity settings. It only requires quality management particularly strict selection criteria and conscious labor supervision to optimize its benefits.
    VL  - 6
    IS  - 2
    ER  - 

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Author Information
  • Department of Obstetrics and Gynecology, Niger Delta University, Amassoma, Nigeria

  • Department of Obstetrics and Gynecology, Niger Delta University, Amassoma, Nigeria

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