Maternal and neonatal outcome in pregnancy with previous lower segment caesarean section undergoing trial of scar

Dalal, Monika; Nanda, Smiti; Dalal, Poonam; Kaushik, Samiksha; Chauhan, Meenakshi; Malhotra, Vani; Chaudhary, Sushila; Rani, Vandana; Singh, Parul

doi:10.18203/2320-1770.ijrcog20213465

Cited by 2 publications

(1 citation statement)

References 8 publications

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“…Several attempts have been made to reduce the CS rate 1 , 7 . VBAC is one of the best strategies that can be used to decrease the CS rate and is associated with a lower incidence of maternal and neonatal morbidity and mortality as compared to repeat CS 2 , 8 – 12 . A successful trial of labor after cesarean (TOLAC) reduces the risk of blood loss, hysterectomy, and associated puerperal infections 13 .…”

Section: Introductionmentioning

confidence: 99%

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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Section: Introductionmentioning

confidence: 99%

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

View full text Add to dashboard Cite

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Predictors of successful trial of labor after cesarean section (TOLAC) in women with one prior transverse cesarean section at Tertiary Hospitals in northwest Ethiopia: a multicenter study

Tegegne,

Rade,

Yismaw

et al. 2024

BMC Pregnancy Childbirth

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Background Trials of labor after cesarean section is the preferred strategy to decrease the cesarean delivery rate and reducing complications associated with multiple cesarean sections. The success rate of trials of labor after cesarean section and associated factors have not been well documented in Ethiopia. Hence, this study was aimed to determine the success rate and factors associated with the trial of labor after one cesarean section in five Comprehensive Specialized Hospitals located in northwest Ethiopia. Methods An institutional-based cross-sectional study was conducted among 437 women who came for the trial of labor from December 1, 2021, to March 30, 2022. All women who fulfilled the eligibility criteria were included to this study. Data was collected using structured and pre-tested questionnaire. Then, the data was entered into Epi Data 4.6 software and exported to SPSS version 26 for analysis. To identify the variables influencing the outcome variable, bivariable and multivariable logistic regression analyses were conducted. The model’s fitness was checked using the Hosmer-Lemeshow goodness of fit test, and an adjusted odds ratio with a 95% confidence interval was used to declare the predictors that are significantly associated with TOLAC. Results The success rate of the trial of labor after one cesarean section was 56.3% (95% CI, 51.3%, 61.2%). Maternal age ≥ 35 years (AOR: 3.3, 95% CI 1.2, 9.3), the fetal station at admission ≤ zero (AOR: 5. 6, 95% CI 3.3, 9.5), vaginal delivery before cesarean section (AOR: 1.9, 95% CI 1.2, 3.2), and successful vaginal birth after cesarean delivery (AOR 2.2, 95% CI 1.2, 4.1) were found to have a significant association with the success rate of trial of labor after cesarean section. Conclusions In this study, the success rate of the trial of labor after a cesarean section was low as compared to the ACOG guideline and other studies in different countries. Therefore, the clinicians ought to offer counsel during antenatal and intrapartum period, encourage the women to make informed decision on the mode of delivery, and the practitioners need to follow fetal and maternal conditions strictly to minimize adverse birth outcomes.

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Maternal and neonatal outcome in pregnancy with previous lower segment caesarean section undergoing trial of scar

Cited by 2 publications

References 8 publications

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

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

Predictors of successful trial of labor after cesarean section (TOLAC) in women with one prior transverse cesarean section at Tertiary Hospitals in northwest Ethiopia: a multicenter study

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