Comparison of Maternal and Neonatal Outcomes in Vaginal Birth after Caesarean Section
Background and Objective: Previous cesarean sections are the most common cause of increased cesarean section in many parts of the world, although it is not always necessary. Considering the high statistics of cesarean section in Iran and especially the high rate of repeat cesarean section and creati...
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Babol University of Medical Sciences
2024-03-01
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| Series: | Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul |
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| Online Access: | http://jbums.org/article-1-11030-en.pdf |
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| author | S Gholampour A Ghanbarpour Z Bouzari M Naeimi Rad Sh Yazdani |
| author_facet | S Gholampour A Ghanbarpour Z Bouzari M Naeimi Rad Sh Yazdani |
| author_sort | S Gholampour |
| collection | DOAJ |
| description | Background and Objective: Previous cesarean sections are the most common cause of increased cesarean section in many parts of the world, although it is not always necessary. Considering the high statistics of cesarean section in Iran and especially the high rate of repeat cesarean section and creating motivation for vaginal birth after cesarean section, this study was conducted in order to investigate the maternal and neonatal outcomes of vaginal birth after one cesarean section.
Methods: This cross-sectional study was conducted on 104 pregnant women with a previous caesarean section and transverse incision on the lower segment in Ayatollah Rouhani Hospital of Babol in two groups; 50 people in the first group who underwent repeat emergency cesarean section and 54 people in the second group who consented to vaginal birth after cesarean section (VBAC). Demographic characteristics and maternal and neonatal complications were investigated and compared between the two groups.
Findings: In this study, there were no significant differences between the two groups in terms of demographic characteristics. Infant mortality rate was reported in 6 cases (12%) in the first group and 2 cases (3.7%) in the second group. Furthermore, 3 babies (6%) in the repeat cesarean section group and 9 babies (16.7%) in the vaginal birth group after cesarean section were admitted to the neonatal intensive care unit. The 5-minute Apgar was also significantly higher in the babies of the vaginal birth group after cesarean section (p=0.04). The duration of mother's hospitalization was 3.98±5.53 and 2.11±0.31 days in the repeat cesarean and vaginal birth groups, respectively (p=0.02).
Conclusion: According to the results of this study, maternal and neonatal complications did not increase in vaginal birth after cesarean section, and if the mother wishes, vaginal birth can be performed after one cesarean section. |
| format | Article |
| id | doaj-art-d2e979062f3a43f1bcf29fc105e430bd |
| institution | DOAJ |
| issn | 1561-4107 2251-7170 |
| language | English |
| publishDate | 2024-03-01 |
| publisher | Babol University of Medical Sciences |
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| series | Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul |
| spelling | doaj-art-d2e979062f3a43f1bcf29fc105e430bd2025-08-20T02:48:43ZengBabol University of Medical SciencesMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul1561-41072251-71702024-03-012600Comparison of Maternal and Neonatal Outcomes in Vaginal Birth after Caesarean SectionS Gholampour0A Ghanbarpour1Z Bouzari2M Naeimi Rad3Sh Yazdani4 1.Student Research Committee, Babol University of Medical Sciences, Babol, I.R.Iran. 2.Clinical Research Development Unite of Rouhani Hospital, Babol University of Medical Sciences, Babol, I.R.Iran. 3.Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R.Iran. 2.Clinical Research Development Unite of Rouhani Hospital, Babol University of Medical Sciences, Babol, I.R.Iran. 3.Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R.Iran. Background and Objective: Previous cesarean sections are the most common cause of increased cesarean section in many parts of the world, although it is not always necessary. Considering the high statistics of cesarean section in Iran and especially the high rate of repeat cesarean section and creating motivation for vaginal birth after cesarean section, this study was conducted in order to investigate the maternal and neonatal outcomes of vaginal birth after one cesarean section. Methods: This cross-sectional study was conducted on 104 pregnant women with a previous caesarean section and transverse incision on the lower segment in Ayatollah Rouhani Hospital of Babol in two groups; 50 people in the first group who underwent repeat emergency cesarean section and 54 people in the second group who consented to vaginal birth after cesarean section (VBAC). Demographic characteristics and maternal and neonatal complications were investigated and compared between the two groups. Findings: In this study, there were no significant differences between the two groups in terms of demographic characteristics. Infant mortality rate was reported in 6 cases (12%) in the first group and 2 cases (3.7%) in the second group. Furthermore, 3 babies (6%) in the repeat cesarean section group and 9 babies (16.7%) in the vaginal birth group after cesarean section were admitted to the neonatal intensive care unit. The 5-minute Apgar was also significantly higher in the babies of the vaginal birth group after cesarean section (p=0.04). The duration of mother's hospitalization was 3.98±5.53 and 2.11±0.31 days in the repeat cesarean and vaginal birth groups, respectively (p=0.02). Conclusion: According to the results of this study, maternal and neonatal complications did not increase in vaginal birth after cesarean section, and if the mother wishes, vaginal birth can be performed after one cesarean section.http://jbums.org/article-1-11030-en.pdfcesarean sectionvaginal birth after cesarean sectioncomplicationsmaternal outcomeneonatal outcome. |
| spellingShingle | S Gholampour A Ghanbarpour Z Bouzari M Naeimi Rad Sh Yazdani Comparison of Maternal and Neonatal Outcomes in Vaginal Birth after Caesarean Section Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul cesarean section vaginal birth after cesarean section complications maternal outcome neonatal outcome. |
| title | Comparison of Maternal and Neonatal Outcomes in Vaginal Birth after Caesarean Section |
| title_full | Comparison of Maternal and Neonatal Outcomes in Vaginal Birth after Caesarean Section |
| title_fullStr | Comparison of Maternal and Neonatal Outcomes in Vaginal Birth after Caesarean Section |
| title_full_unstemmed | Comparison of Maternal and Neonatal Outcomes in Vaginal Birth after Caesarean Section |
| title_short | Comparison of Maternal and Neonatal Outcomes in Vaginal Birth after Caesarean Section |
| title_sort | comparison of maternal and neonatal outcomes in vaginal birth after caesarean section |
| topic | cesarean section vaginal birth after cesarean section complications maternal outcome neonatal outcome. |
| url | http://jbums.org/article-1-11030-en.pdf |
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