Neonatal and maternal complications of vaginal birth after cesarean in Khatam Al-Anbia hospital in 2019-2020

Document Type : Applicable

Authors

1 Faculty of Medicine, Shahed University, Tehran, Iran

2 Department of Gynecology and Obstetrics, Faculty of Medicine, Shahed University, Tehran, Iran

3 Department of Health and Social Medicine, Shahed University, Tehran, Iran

Abstract

Background and Objective: Vaginal birth after cesarean (VBAC) is one of the strategies developed to control the growing number of cesarean sections and is still under investigation. In this study, we investigated the neonatal and maternal complications of VBAC.
 
Materials and Methods: In this cross-sectional study, all pregnant women with a history of cesarean section who decided to have VBAC from 2019 to 2020 were included in the study. Demographic information and postpartum outcomes including success rate of VBAC, its maternal and neonatal complications, and causes of VBAC failure were assessed.
 
Results: 255 pregnant women with a mean age of 31.95 years and BMI of 29.98 kg/m2 were present on study. The mean time elapsed since the last delivery was 5.57 years. VBAC was successful in 77.6% of cases and  lack of delivery progress and lack of response to induction  were the cause of 85.5% of failures. VBAC was uncomplicated in 97% of  mothers and 95.5% of neonates. The average Apgar score of the first and fifth minutes was 8.99 and 10, respectively. The most common maternal complication was bleeding (2%) and the most common neonatal complication was RDS (3%). No case of mortality or uterine rupture was observed.
 
Conclusion: VBAC is successful in 77.6% of cases and in unsuccessful cases, decline FHR and failure to descent are the most common causes of failure. Also, VBAC-born neonates have a favorable Apgar score and blood gas analysis, and in more than 95% of cases, there are no maternal or neonatal complications.
 

Keywords

References

  1. H E, I Gurol-Urganci, J H van der Meulen, T A Mahmood, D H Richmond, A Dougall, D A Cromwell. vaginal birth after cesarean section-a 4 years study. KJMS. 2019;12(1):43.
  2. Ayob AH. Postoperative complication of caesarean section. 2018.
  3. Agrawal T, Ganguly I. To determine the integrity of scare in all cases of previous cesarean section before VBAC is tried. International Journal of Clinical Obstetrics and Gynaecology 2019; 3(4): 135-136.
  4. Sahu R, Chaudhary N, Sharma A. Prediction of successful vaginal birth after caesarean section based on Flamm and Geiger scoring system a prospective observational study. International Journal of Reproduction, Contraception, Obstetrics and Gynecology 2018; 7(10):3999.
  5. Motomura K, Ganchimeg T, Nagata C, Ota E, Vogel JP, Betran AP, et al. Incidence and outcomes of uterine rupture among women with prior caesarean section: WHO multicountry survey on maternal and newborn health. Scientific Reports 2017;7:44093. doi: 10.1038/srep44093.
  6. Guise J-M, Berlin M, McDonagh M, Osterweil P, Chan B, Helfand M. Safety of vaginal birth after cesarean: a systematic review. Obstetrics & Gynecology 2004;103(3):420-9.
  7. Mittal M, Kandoria M, Sood R, Chauhan Outcome of pregnancy in women with previous one cesarean section. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2018;7(8):3258.
  8. Li W-H, Yang M-J, Wang P-H, Juang C-M, Chang Y-W, Wang H-I, et al. Vaginal birth after cesarean section: 10 years of experience in a tertiary medical center in Taiwan. Taiwanese Journal of Obstetrics and Gynecology. 2016;55(3):394-8.
  9. Tsakiridis I, Mamopoulos A, Athanasiadis A, Dagklis T. Vaginal birth after previous cesarean birth: a comparison of 3 national guidelines. Obstetrical & Gynecological Survey 2018;73(9):537-43.
  10. ACOG Practice Bulletin No. 205: Vaginal Birth After Cesarean Delivery. Obstetrics and Gynecology 2019;133(2):e110-e27.
  11. Alkhamis F. Pregnancy Outcome in Women with Previous One Cesarean Section, Experience from Kingdom of Saudi Arabia. The Egyptian Journal of Hospital Medicine 2019;77(3):5109-13.
  12. Wu Y, Kataria Y, Wang Z, Ming WK, Ellervik C. Factors associated with successful vaginal birth after a cesarean section: a systematic review and meta-analysis. BMC Pregnancy and Childbirth 2019;19(1):360.
  13. Foladi m. Analysis of the position of the population in Islam and a look at its position in the Islamic system. Socio-Cultural Knowledge 2019;40(10):41- 47.
  14. Dehghan deh Jamali, H. Fertility and population growth from the perspective of the Holy Quran and the Ahl al-Bayt (PBUH). Interdisciplinary Studies in Strategic Knowledge 2017;7 (29):147-170.
  15. Thomna L, Shahreyari M. Evaluate the approach of upstream laws and documents to the qualitative dimension of population growth. Bi-Quarterly Journal of Demographic Studies 2020; 6 (2):315-37.
  16. Piroozi B, Moradi G, Esmail Nasab N, Ghasri H, Farshadi S, Farhadifar F. Evaluating the effect of health sector evolution plan on cesarean rate and the average costs paid by mothers: A case study in Kurdistan province between 2013-2015. Hayat Journal 2016;22(3):245-54.
  17. Reschovsky JD, Rich EC, Lake TK. Factors contributing to variations in physicians’ use of evidence at the point of care: a conceptual model. Journal of General Internal Medicine 2015;30(3):555-61.
  18. Villar J, Valladares E, Wojdyla D, Zavaleta N, Carroli G, Velazco A, et al. Caesarean delivery rates and pregnancy outcomes: the 2005 WHO global survey on maternal and perinatal health in Latin America. The Lancet 2006;367(9525):1819-29.
  19. Ferreira CS, Melo Â, Fachada AH, Solheiro H, Nogueira Martins N. Umbilical Cord Blood Gas Analysis, Obstetric Performance and Perinatal Outcome. Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia 2018;40(12):740-8.
  20. Lee JH, Jung J, Park H, Kim SY, Kwon DY, Choi SJ, et al. Umbilical cord arterial blood gas analysis in term singleton pregnancies: a retrospective analysis over 11 years. Obstetrics & gynecology science 2020;63(3):293-304.
  21. Sirenden H, Sunarno I, Arsyad MA, Idris I. Birth weight, Apgar score, and fetal complications in mothers with severe preeclampsia. Enfermeria Clinica 2020;30 Suppl 2:533-6.
  22. Gooding JR, McClead RE, Jr. Initial assessment and management of the newborn. Pediatric Clinics of North America 2015;62(2):345-65.
  23. Asgarian A, Rahmati N, Nasiri F, Mohammadbeigi A. The Failure Rate, Related Factors, and Neonate Complications of Vaginal Delivery after Cesarean Section. Iranian Journal of Nursing and Midwifery Research 2020;25(1):65-70.
  24. Naji O, Wynants L, Smith A, Abdallah Y, Stalder C, Sayasneh A, et al. Predicting successful vaginal birth after Cesarean section using a model based on Cesarean scar features examined by transvaginal sonography. Journal of the International Society of Ultrasound in Obstetrics and Gynecology 2013;41(6):672-8.
  25. Mirteymouri M, Ayati S, Pourali L, Mahmoodinia M, Mahmoodinia M. Evaluation of Maternal-Neonatal Outcomes in Vaginal Birth After Cesarean Delivery Referred to Maternity of Academic Hospitals. Journal of Family & Reproductive Health 2016;10(4):206-10.
  26. Lipschuetz M, Guedalia J, Rottenstreich A, Novoselsky Persky M, Cohen SM, Kabiri D, et al. Prediction of vaginal birth after cesarean deliveries using machine learning. American Journal of Obstetrics and Gynecology 2020;222(6):613.e1-.e12.
  27. Knight H, Gurol‐Urganci I, Van Der Meulen J, Mahmood T, Richmond D, Dougall A, et al. Vaginal birth after caesarean section: a cohort study investigating factors associated with its uptake and success. BJOG: An International Journal of Obstetrics & Gynaecology 2014;121(2):183-92.
  28. Lundgren I, Begley C, Gross MM, Bondas T. 'Groping through the fog': a metasynthesis of women's experiences on VBAC (Vaginal birth after Caesarean section). BMC Pregnancy and Childbirth 2012;12:85.
  29. Mone F, Harrity C, Toner B, McNally A, Adams B, Currie A. Predicting why women have elective repeat cesarean deliveries and predictors of successful vaginal birth after cesarean. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics 2014;126(1):67-9.
  30. Oboro V, Adewunmi A, Ande A, Olagbuji B, Ezeanochie M, Oyeniran A. Morbidity associated with failed vaginal birth after cesarean section. Acta Obstetricia et Gynecologica Scandinavica 2010;89(9):1229-32.
  31. Sakiyeva KZ, Abdelazim IA, Farghali M, Zhumagulova S, Dossimbetova M, Sarsenbaev M, et al. Outcome of the vaginal birth after cesarean section during the second birth order in West Kazakhstan. Journal of Family Medicine and Primary Care 2018;7(6):1542.
  32. Fu Chan Ke Za Zhi Z. Outcome of vaginal birth after cesarean section in women with advanced maternal age]. Obstetrics 2017;52(8):521-5.
  33. Melamed N, Segev M, Hadar E, Peled Y, Wiznitzer A, Yogev Y. Outcome of trial of labor after cesarean section in women with past failed operative vaginal delivery. American Journal of Obstetrics and Gynecology 2013;209(1):49.e1-7.
  34. De Leo R, La Gamba DA, Manzoni P, De Lorenzi R, Torresan S, Franchi M, et al. Vaginal Birth after Two Previous Cesarean Sections versus Elective Repeated Cesarean: A Retrospective Study. American Journal of Perinatology 2020;37(S 02):S84-s8.
  35. Martin J A, Hamilton B E, Osterman M J K. Births in the United States NCHS Data Brief 2019;346:1-8.
  36. Bernstein SN, Matalon-Grazi S, Rosenn BM. Trial of labor versus repeat cesarean: are patients making an informed decision?. American Journal of Obstetrics and Gynecology 2012;207(3):204.e1-6.
  37. Chen MM, Hancock H. Women's knowledge of options for birth after Caesarean Section. Journal of the Australian College of Midwives 2012;25(3):e19-26.
  38. Chen S-W, Hutchinson AM, Nagle C, Bucknall TK. Women’s decision-making processes and the influences on their mode of birth following a previous caesarean section in Taiwan: a qualitative study. BMC Pregnancy and Childbirth 2018;18(1):1-13.
  39. Firoozi M, Tara F, Ahanchian MR, Latifnejad Roudsari R. Clinician's and women's perceptions of individual barriers to vaginal birth after cesarean in Iran: A qualitative inquiry. Caspian Journal of Internal Medicine 2020;11(3):259-66.
Daneshvar Medicine
Volume 29, Issue 6 - Serial Number 157
March and April 2022
Pages 24-33

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