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Comparison of maternal-neonatal results of vaginal birth after cesarean and elective repeat cesarean delivery
, 1, 1, 1
Affiliations- Department of Obstetrics and Gynecology, Health Sciences University, Zeynep Kamil Women’s and Children’s Diseases Training and Research Hospital, Istanbul, Türkiye
open access
Abstract
Objective: To evaluate maternal-neonatal results in women who underwent vaginal birth after cesarean (VBAC) and elec-tive repeat cesarean delivery (ERCD).
Material and methods: In a two-year retrospective cohort analysis, 423 patients with a history of prior cesarean section, singleton pregnancy with cephalic presentation and gestational age of 37–41 weeks were investigated. The maternal and perinatal outcomes of 195 patients desiring VBAC and undergoing a trial of labor after cesarean (TOLAC) attempt and 228 patients undergoing an ERCD were compared.
Results: While the TOLAC attempt was successful in 141 patients (72.3%), it was unsuccessful in 54 patients. No statistically significant difference was determined between VBAC and ERCD patients regarding uterine rupture, dehiscence, post-partum hemorrhage, the need for a blood transfusion and wound site infection (p > 0.05). When the post-partum neonatal outcomes were compared, there was no statistically significant difference between VBAC and ERCD groups regarding the prevalence of admission to the neonatal intensive care unit (NICU), respiratory distress, sepsis and birth injury (p > 0.05).
Conclusion: The maternal and perinatal outcomes of our study may be encouraging in favor of VBAC particularly in countries with higher cesarean rates. We think that the option of VBAC should be offered more frequently for selected appropriate patients in created safe environments.
Abstract
Objective: To evaluate maternal-neonatal results in women who underwent vaginal birth after cesarean (VBAC) and elec-tive repeat cesarean delivery (ERCD).
Material and methods: In a two-year retrospective cohort analysis, 423 patients with a history of prior cesarean section, singleton pregnancy with cephalic presentation and gestational age of 37–41 weeks were investigated. The maternal and perinatal outcomes of 195 patients desiring VBAC and undergoing a trial of labor after cesarean (TOLAC) attempt and 228 patients undergoing an ERCD were compared.
Results: While the TOLAC attempt was successful in 141 patients (72.3%), it was unsuccessful in 54 patients. No statistically significant difference was determined between VBAC and ERCD patients regarding uterine rupture, dehiscence, post-partum hemorrhage, the need for a blood transfusion and wound site infection (p > 0.05). When the post-partum neonatal outcomes were compared, there was no statistically significant difference between VBAC and ERCD groups regarding the prevalence of admission to the neonatal intensive care unit (NICU), respiratory distress, sepsis and birth injury (p > 0.05).
Conclusion: The maternal and perinatal outcomes of our study may be encouraging in favor of VBAC particularly in countries with higher cesarean rates. We think that the option of VBAC should be offered more frequently for selected appropriate patients in created safe environments.
Keywords
vaginal birth after cesarean; trial of labor after cesarean; maternal morbidity; maternal mortality; neonatal morbidity; neonatal mortality
About this articleTitle
Comparison of maternal-neonatal results of vaginal birth after cesarean and elective repeat cesarean delivery
Journal
Issue
Article type
Research paper
Pages
306-311
Published online
2020-10-01
Page views
1754
Article views/downloads
1370
DOI
Pubmed
Bibliographic record
Ginekol Pol 2021;92(4):306-311.
Keywords
vaginal birth after cesarean
trial of labor after cesarean
maternal morbidity
maternal mortality
neonatal morbidity
neonatal mortality
Authors
Gizem İzbudak
Elif Tozkır
Ebru Cogendez
Faik Uzun
Semra Kayataş Eser
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