EVALUATING THE SUCCESS RATE OF VAGINAL DELIVERY AFTER CAESAREAN SECTION

. MEHWISH; S NAFEES; T KUNBAHAR; T PARVEEN; M  IQBAL; S NAFEES

doi:10.54112/bcsrj.v2023i1.229

Authors

. MEHWISH Department of Gynecology, Bahria University Health Sciences Campus (BUHSC), Pakistan Navy Station (PNS) Shifa Hospital Karachi, Pakistan
S NAFEES Department of Gynecology, Bon Secours Hospital Cork, Ireland
T KUNBAHAR Department of Gynecology, the Pakistan Naval Station Darmaan Jah (PNS Darmaan Jah), Ormara, Pakistan
T PARVEEN Department of Gynecology, Pakistan Navy Station (PNS) Shifa Hospital Karachi, Pakistan
M IQBAL Department of Gynecology, Dow University of Health Sciences, Karachi, Pakistan
S NAFEES Department of Gynecology, Creek General Hospital Karachi, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2023i1.229

Keywords:

Vaginal birth after cesarean section, elective repeat cesarean section, prediction model, the trial of labor after caesarean delivery

Abstract

: The retrospective study was conducted in the Department of Gynecology Dr. Ruth K. M. Pfau Civil Hospital Karachi, from February 2021 to February 2022, for the evaluation of factors associated with the success of TOLAC (trial of labor after cesarean delivery) and to identify variables for predicting the success of TOLAC in subjects with prior Caesarean section (CS). A total of 315 women were included in the study. They were divided into the validation cohort (n=20, 63%) and the training cohort(n=295, 93.6%). The primary endpoint was the success rate of vaginal delivery. The results showed that of 315 participants, 264 (83.8%) women had successful TOLAC and vaginal delivery, and 51 (16.1%) had ERCS. According to multivariate analysis, BMI-estimated birth weight, gestational age <41 weeks, rupture of membranes, and cervix Bishop score ≥5 was significantly associated with the success of TOLAC. Results suggest that TOLAC has a high success rate in women with a history of c-sections.

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