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An Observational Study of Various Predictors of Success of Vaginal Delivery Following a Previous Cesarean Section

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Abstract

Objectives

To study the various predictors of success for vaginal birth after cesarean (VBAC) and to study the maternal and fetal outcomes in them and their comparison with control group.

Methods

This prospective observational study included 100 women with previous cesarean section in the study group and 100 primigravidas in the control group. Various predictors for success of VBAC were analyzed and maternal and fetal outcomes were compared with the control group using student t test, Pearson χ 2 test, and Mann–Whitney U test.

Results

Of 100 women with prior cesarean Sect. 65 had successful trial of labor, while 35 underwent a repeat cesarean section. Maternal complications in the previous CS group were 15 % as compared to only 2 % in the control group (p < 0.001).

Conclusion

Maternal pre-pregnancy BMI, non-recurring indications of previous cesarean section, good Bishop’s score at the time of admission, spontaneous onset of labor, and neonatal birth weight were significantly related to high chances of success of vaginal birth after previous cesarean section. Maternal complications were more common in study group, but the fetal outcomes were similar.

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Author information

Authors and Affiliations

  1. DNB Obstetrics and Gynecology, Dr. RML Hospital, New Delhi, India

    Smriti Gupta (Senior Resident)

  2. Obstetrics & Gynecology, Holy Family Hospital, New Delhi, India

    Shanti Jeeyaselan (Head of Department and Senior Consultant) & Raka Guleria (Senior Consultant)

  3. DNB Obstetrics and Gynecology, CGHS, Meerut, UP, India

    Anjali Gupta (Senior Medical Officer)

  4. A 38/2, Kirti Palace, Jagriti Vihar, Meerut, UP, India

    Smriti Gupta (Senior Resident)

Authors
  1. Smriti Gupta
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  2. Shanti Jeeyaselan
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  3. Raka Guleria
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  4. Anjali Gupta
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Corresponding author

Correspondence to Smriti Gupta.

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Gupta, S., Jeeyaselan, S., Guleria, R. et al. An Observational Study of Various Predictors of Success of Vaginal Delivery Following a Previous Cesarean Section. J Obstet Gynecol India 64, 260–264 (2014). https://doi.org/10.1007/s13224-014-0519-2

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  • DOI: https://doi.org/10.1007/s13224-014-0519-2

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