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

Girma, Yeabsira; Menlkalew, Zerihun; Destaw, Alemnew

doi:10.1016/j.heliyon.2021.e08276

Cited by 9 publications

(22 citation statements)

References 23 publications

(36 reference statements)

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“…Similarly, women who were admitted with cervical dilatation of ≥ 4cm were 2.20 times more likely to have successful VBAC. This nding was in line with other studies (44,49,56,61). It may be due to the active rst stage of labor.…”

Section: Factors Associated With Successful Vbacsupporting

confidence: 94%

“…Women who had prior successful VBAC were 9.46 times more likely to have successful VBAC. The nding was consistent with other studies (38,44,49,52,53,59,(73)(74)(75). The possible reason might be that women who had previous success with VBAC may have good psychological readiness and they may also be aware of the advantage of vaginal delivery.…”

Section: Factors Associated With Successful Vbacsupporting

confidence: 91%

“…In our study, the success rate of VBAC was almost in line with studies conducted at Mizan Tepi University teaching Hospital 41.0% (49), Attat primary hospital in the Gurage zone (44.5%) (44). South Africa 36% (50), Nigeria 33.8% (51), and St Stephens Hospital of New Delhi, India 40.0% (52).…”

Section: Factors Associated With Successful Vbacsupporting

confidence: 89%

“…Women who had a vaginal delivery before CS was 6.56 times more likely to have successful VBAC. The nding was supported by other studies (35,38,46,49,51,52,58,61,76). The possible reason might be that women who have a history of prior vaginal delivery may have a better understanding of the advantage of vaginal delivery over CS.…”

Section: Factors Associated With Successful Vbacsupporting

confidence: 85%

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Factors Associated with Successful Vaginal Birth after Lower Uterine Transverse Cesarean Section Delivery in Public Hospitals of Bahir Dar city, Northwest, Ethiopia

Derebe

Aweke

Mihiret

et al. 2022

Preprint

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Introduction: Vaginal birth after cesarean section is the term applied to a woman who undergoes vaginal delivery following cesarean section. It is the preferred method to decrease complications associated with repeated cesarean section delivery. Objectives This study aimed to assess factors associated with successful vaginal birth after lower uterine transverse cesarean section delivery and to validate the Flamm and Geiger score in the public hospitals of Bahir Dar city, Northwest, Ethiopia. Methods Health facility-based retrospective cross-sectional study was conducted from March 1–15/2021 among 345 mothers who gave birth by caesarian section from January 1/2020 to December 31/2020. The data was collected by a simple random sampling technique, entered into Epi data 3.1, and analyzed using SPSS 25.0 version. Logistic regression analyses were done to estimate the crude and adjusted odds ratio with a confidence interval of 95% and a P-value of less than 0.05 considered statistically significant. Results This study identified that 35.07% of the women had a successful vaginal birth after one lower uterine transverse cesarean section delivery and among them. Of the failed trial of labor, fetal distress (38.9%) and failed progress of labor (32.1%) were the main indications for emergency cesarean section. Maternal age ≤ 30 years, prior successful vaginal birth after cesarean section delivery, prior vaginal delivery before cesarean section, non-recurrent indication (fetal distress and malpresentation), ruptured membrane, cervical dilatation ≥ 4cm, cervical effacement ≥ 50%, and low station (≥ 0) at admission were associated with successful vaginal birth after one lower uterine transverse cesarean section delivery. For the Flamm and Geiger scores at a cut point of 5, the sensitivity and specificity were 73.6% and 86.6% respectively. Conclusion The successful vaginal birth after one lower uterine transverse cesarean section was low in the study area. When the total Flamm and Geiger score increases, the chance of successful vaginal birth after one lower uterine transverse cesarean section increases. We suggest emphasizing the careful selection of women for a trial of labor.

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Section: Factors Associated With Successful Vbacsupporting

confidence: 94%

Section: Factors Associated With Successful Vbacsupporting

confidence: 91%

Section: Factors Associated With Successful Vbacsupporting

confidence: 89%

Section: Factors Associated With Successful Vbacsupporting

confidence: 85%

See 2 more Smart Citations

Factors Associated with Successful Vaginal Birth after Lower Uterine Transverse Cesarean Section Delivery in Public Hospitals of Bahir Dar city, Northwest, Ethiopia

Derebe

Aweke

Mihiret

et al. 2022

Preprint

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“…In total, 2,100 women who attempted a vaginal birth after a cesarean section were included. Regarding geographical distribution, three of the studies were from Oromia [34][35][36], two from SNNPR [37,38], two from Addis Ababa administrative city [39,40], and one from Harari and Dire Dawa [41] (Table 1).…”

Section: Study Characteristicsmentioning

confidence: 99%

Predictors of successful vaginal birth after a cesarean section in Ethiopia: a systematic review and meta-analysis

Mekonnen

Asfaw

2023

BMC Pregnancy Childbirth

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Background The rates of successful vaginal birth after previous cesarean section (VBAC) have been increasing with minimal complication. Successful vaginal birth after cesarean section improves maternal and fetal outcomes by shortening the length of hospital stay, avoiding abdominal surgery, decreasing the risk of infections and hemorrhage, and decreasing injury of the bladder and bowel. Despite a few single studies stating different predictors of successful VBAC, there is a lack of nationwide data to show the determinants of successful VBAC. Thus, this meta-analysis aimed to determine the predictors of successful VBAC in Ethiopia. Methods A systematic literature search was performed from PubMed, Web of Sciences, EMBASE, CINAHL, and Google scholar until July 25, 2022. The quality of included studies was evaluated using the Joanna Briggs Institute (JBI) critical appraisal checklist. The analysis was executed using Stata 14 statistical software. Heterogeneity was evaluated statistically using Cochran’s Q-statistic and quantified by the I2 value. A random-effects model was used to estimate the determinants of successful vaginal birth after a cesarean section if substantial heterogeneity was detected across included studies; otherwise, a fixed-effects model was used. Results Women living in rural residence (AOR: 2.14; 95% CI: 1.01, 4.52), history of previous spontaneous vaginal delivery (AOR: 2.92; 95% CI: 2.02, 4.23), previous successful vaginal birth after previous cesarean section (AOR: 5.29; 95% CI: 2.20, 12.69), history of stillbirth (AOR: 1.57; 95% CI: 1.20, 2.04), cervical dilation of ≥ 4 cm at admission (AOR: 2.14; 95% CI: 1.27, 3.61), spontaneous ruptured membranes at admission (AOR: 1.32; 95% CI: 1.17, 1.48) were independent determinants of successful vaginal birth after previous cesarean section. Conclusion The results of this meta-analysis showed that successful VBAC was influenced by past and present obstetric conditions and other predictors. Thus, it is recommended that obstetric care providers should emphasize those factors that lead to successful vaginal birth during counseling and optimal selection of women for the trial of labour after cesarean section. Systematic review and meta-analysis registration PROSPERO CRD42022329567.

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Construction and evaluation of nursing-sensitive quality indicators for vaginal birth after cesarean: A Delphi study based on Chinese population

Liu,

Zhang

et al. 2023

Heliyon

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

Cited by 9 publications

References 23 publications

Factors Associated with Successful Vaginal Birth after Lower Uterine Transverse Cesarean Section Delivery in Public Hospitals of Bahir Dar city, Northwest, Ethiopia

Factors Associated with Successful Vaginal Birth after Lower Uterine Transverse Cesarean Section Delivery in Public Hospitals of Bahir Dar city, Northwest, Ethiopia

Predictors of successful vaginal birth after a cesarean section in Ethiopia: a systematic review and meta-analysis

Construction and evaluation of nursing-sensitive quality indicators for vaginal birth after cesarean: A Delphi study based on Chinese population

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