Korean J Obstet Gynecol.  2009 Jan;52(1):23-29.

Effective factor of vaginal birth after cesarean

Affiliations
  • 1Department of Obstetrics & Gynecology, Presbyterian Medical Center, Jeon-ju, Korea. mdainayo@hanmail.net

Abstract


OBJECTIVE
The aim of this study is to determine prognostic factor affecting the mode of delivery in women with one previous low transverse cesarean section by comparing success group with failure group in Vaginal birth after cesarean (VBAC).
METHODS
In this retrospective study, 79 patients with one previous low transverse cesarean section who attempted vaginal birth at Jeon-Ju Jesus Presbyterian hospital from January 1, 1997 to December 31, 2007. Information was collected and analyzed to see if there is significant difference between success group and failure group in VBAC. and the significance was set at P<0.05.
RESULTS
The VBAC success rate turned out to 88.6%. There was one case of uterine rupture which was associated with hypoxic -ischemic encephalopathy in neonate. But, there was no case of the fetal death or mother death. There were significant difference between two groups in gestational age, expected fetal body weight, cervical dilation, Bishop score, thickness of lower uterine segment.
CONCLUSION
The prognostic factors on success of VBAC can be aid in deciding the mode of delivery after cesarean section. Patient being chosen under strict indication, can enhance the VBAC trial and success rate.

Keyword

VBAC

MeSH Terms

Cesarean Section
Female
Fetal Death
Fetal Weight
Gestational Age
Humans
Infant, Newborn
Lipids
Mothers
Parturition
Pregnancy
Protestantism
Quaternary Ammonium Compounds
Retrospective Studies
Uterine Rupture
Vaginal Birth after Cesarean
Lipids
Quaternary Ammonium Compounds
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