Background In developing countries, women are unwilling to accept cesarean delivery due to their old-style principles and sociocultural customs. Those women are frequently sent to hospitals with life-threatening problems and in these circumstances the cesarean section (CS) is done as an emergency operation. Aim We aimed to determine the incidence of vaginal delivery and its outcome in Tanta University Hospital. Patients and methods This prospective cohort study was conducted at Obstetrics and Gynecology Department, Tanta University Hospital during the period from August 2018 to January 2019. All women in labor during the period of the study were the target population of the study. Results Prevalence of normal vaginal delivery (NVD) was found to be 59.3% of all deliveries in our study. No significant difference was found between NVD and CS as regards neonatal outcome. Postpartum hemorrhage was the most common complication after NVD representing 5.5% of all cases. NVD were found to decrease with increased age of women, number of gravida, parity of studied women, and with increased abortions. It was found to increase with increased gestational age. Conclusion The prevalence of NVD at Tanta University Hospitals was 59.3% compared with 40.7% for cesareans and the outcome of delivery did not differ between NVD and CS.
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