Volume 6, Issue 2, March 2018, Page: 26-30
Vaginal Birth After Caesarean: Any Predictive Model
Ikeanyi Eugene Maduabuchukwu, Department of Obstetrics and Gynecology, Niger Delta University, Amassoma, Nigeria
Ibrahim Isa Ayuba, Department of Obstetrics and Gynecology, Niger Delta University, Amassoma, Nigeria
Received: Mar. 26, 2018;       Accepted: Apr. 15, 2018;       Published: May 17, 2018
DOI: 10.11648/j.jgo.20180602.12      View  1365      Downloads  94
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.
Keywords
After Caesarean, Predictive, Trial, Vaginal Birth
To cite this article
Ikeanyi Eugene Maduabuchukwu, Ibrahim Isa Ayuba, Vaginal Birth After Caesarean: Any Predictive Model, Journal of Gynecology and Obstetrics. Vol. 6, No. 2, 2018, pp. 26-30. doi: 10.11648/j.jgo.20180602.12
Copyright
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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