Feto-Maternal Outcome of Vaginal Birth after Cesarean and Associated Factors Among Mothers with Previous Cesarean Scar at Attat Lord Merry Primary Hospital, Gurage Zone, South Ethiopia

Siraneh, Yibeltal; Assefa, Fanta; Tesfaye, Mahlet

doi:10.4172/2376-127x.1000390

Cited by 9 publications

(23 citation statements)

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“…This finding is consistent with the meta-analysis of the sub-Saharan Africa studies that showed a TOLAC rate of 37% to 97% [ 21 ]. Moreover, a recent study in Ethiopia also showed the TOLAC rate of 38.5% [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, other studies also reported comparable levels of VBAC success rates in the United States (71%) [ 13 ], India (73%) [ 25 ], Ghana (61%) [ 27 ], Nigeria (73%) [ 28 ], and Egypt (77%) [ 29 ]. Some studies also report lower VBAC success rates in Ethiopia (44.5%) [ 26 ], Nigeria (45.1%) [ 30 ], and Brazil (45%) [ 31 ]. The VBAC success rate in the present study was lower than that in the studies in Japan (91.5%) [ 18 ], Australia (83%) [ 19 ], and China (80%) [ 32 ], which might be due to variation in the maternity care system between Ethiopia and these countries.…”

Section: Discussionmentioning

confidence: 99%

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Validation of a Vaginal Birth after Cesarean Delivery Prediction Model in Teaching Hospitals of Addis Ababa University: A Cross-Sectional Study

Misgan

Gedefaw

Negash

et al. 2020

BioMed Research International

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Background. External validation of a vaginal birth after cesarean delivery (VBAC) prediction model is important before implementation in other settings. The primary aim of this study is to validate the Grobman prenatal VBAC calculator in the Ethiopian setting. Secondarily, the study was aimed at developing and comparing a new VBAC model that includes both the prenatal and intrapartum variables. Methods. A cross-sectional survey was conducted, complemented by a medical chart review of 268 women admitted at three teaching hospitals of Addis Ababa University and who underwent a trial of labor after one prior cesarean birth. Maternal age, prepregnancy BMI, prior vaginal delivery, prior VBAC, and prior cesarean delivery indication type were included in the Grobman model. Observed delivery outcomes were recorded and then compared with the outcomes predicted by the calculator. We assessed the predictive abilities of the Grobman model and the new model using a receiver operating characteristic (ROC) curve. Multivariate logistic regression analysis was conducted to identify variables associated with successful VBAC. Results. Out of the 268 participants, 186 (69.4%) (95% CI 57.5-81.3) had successful VBAC. The area under the ROC curve (AUC) of the Grobman model was 0.75 (95% CI 0.69-0.81). Notably, the novel model including both the prenatal and intrapartum variables had a better predictive value than the original model, with an AUC of 0.87 (95% CI 0.81-0.93). Prior VBAC, prepregnancy BMI, fetal membrane status, and fetal station at admission were predictors of VBAC in the newly developed logistic regression model. Conclusions. The success rate of VBAC was similar to other sub-Saharan African countries. The Grobman model performed adequately in the study setting; however, the model including both the prenatal and intrapartum variables was more predictive. Thus, intrapartum predictors used in the new model should be considered during intrapartum counseling.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Validation of a Vaginal Birth after Cesarean Delivery Prediction Model in Teaching Hospitals of Addis Ababa University: A Cross-Sectional Study

Misgan

Gedefaw

Negash

et al. 2020

BioMed Research International

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“…In Ethiopia, the VBAC rate was 45.5% in Attat Lord Merry Primary Hospital, South Ethiopia [13]. Cervical dilatation >3 cm at admission, history of successful VBAC in the past, rupture of membrane at admission, the occipito-anterior position of the fetus were factors associated with the success rate of VBAC [16].…”

Section: Introductionmentioning

confidence: 94%

“…The single population proportion formula was used to estimate the required sample size for the study, with the confidence interval estimated to be at the 95% level, the marginal error being 5%, and the proportion of success of VBAC being 45.5%, as observed from a study conducted in Attat Lord Merry Primary Hospital, Southwest Ethiopia [13]; with 10% non-response rate, the final sample size for the study was 419.…”

Section: Sample Size Determination and Sampling Proceduresmentioning

confidence: 99%

“…The proposed rates of successful VBAC have been reported to be 60-80% [9,10,11]. However, the VBAC success rate is lower in Africa including Ethiopia [12,13,14]. For example successful VBAC was 48% in Nigeria [12], 48% in Ghana [14], and 45.5% in Ethiopia [13] Although successful VBAC is a safer and a more recommended method for women with previous single caesarean section delivery than undergoing elective repeat caesarean delivery [15], the chance of successful VBAC is determined by factors such as history of previous vaginal delivery, cervical dilatation and station at admission, birth weight >4 kg, cephalo-pelvic disproportion, and maternal age [8,15]; Studies revealed that previous history of vaginal delivery is the best predictor of VBAC success [11,13,14].…”

Section: Introductionmentioning

confidence: 99%

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Vaginal delivery after caesarean section and its associated factors in Mizan Tepi University Teaching Hospital, Southwest Ethiopia

Girma¹,

Menlkalew²,

Destaw

2021

Heliyon

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Vaginal birth after cesarean section and its associated factors in Ethiopia: a systematic review and meta-analysis

Addisu

Gebeyehu

Biru

et al. 2023

Sci Rep

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The prevalence of cesarean sections is rising rapidly and is becoming a global issue. Vaginal birth after a cesarean section is one of the safest strategies that can be used to decrease the cesarean section rate. Different fragmented primary studies were done on the success rate of vaginal birth after cesarean section and its associated factors in Ethiopia. However, the findings were controversial and inconclusive. Therefore, this meta-analysis was intended to estimate the pooled success rate of vaginal birth after cesarean section and its associated factors in Ethiopia. Pertinent studies were searched in PubMed, Google Scholar, ScienceDirect, direct open-access journals, and Ethiopian universities' institutional repositories. The data were analyzed using Stata 17. The Newcastle–Ottawa quality assessment tool was used to assess the quality of the studies. I squared statistics and Egger’s regression tests were used to assess heterogeneity and publication bias, respectively. A random effects model was selected to estimate the pooled success rate of vaginal birth after cesarean section and its associated factors. The PROSPERO registration number for this review is CRD42023413715. A total of 10 studies were included. The pooled success rate of vaginal birth after a cesarean section was found to be 48.42%. Age less than 30 years (pooled odds ratio (OR) 3.75, 95% CI 1.92, 7.33), previous history of vaginal birth (OR 3.65, 95% CI 2.64, 504), ruptured amniotic membrane at admission (OR 2.87, 95% CI 1.94, 4.26), 4 cm or more cervical dilatation at admission (OR 4, 95% CI 2.33, 6.8), a low station at admission (OR 5.07, 95% CI 2.08, 12.34), and no history of stillbirth (OR 4.93, 95% CI 1.82, 13.36) were significantly associated with successful vaginal birth after cesarean section. In conclusion, the pooled success rate of vaginal birth after a cesarean section was low in Ethiopia. Therefore, the Ministry of Health should consider those identified factors and revise the management guidelines and eligibility criteria for a trial of labor after a cesarean section.

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Feto-Maternal Outcome of Vaginal Birth after Cesarean and Associated Factors Among Mothers with Previous Cesarean Scar at Attat Lord Merry Primary Hospital, Gurage Zone, South Ethiopia

Cited by 9 publications

References 0 publications

Validation of a Vaginal Birth after Cesarean Delivery Prediction Model in Teaching Hospitals of Addis Ababa University: A Cross-Sectional Study

Validation of a Vaginal Birth after Cesarean Delivery Prediction Model in Teaching Hospitals of Addis Ababa University: A Cross-Sectional Study

Vaginal delivery after caesarean section and its associated factors in Mizan Tepi University Teaching Hospital, Southwest Ethiopia

Vaginal birth after cesarean section and its associated factors in Ethiopia: a systematic review and meta-analysis

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