Maternal and neonatal outcomes for women giving birth after previous cesarean

Anastasia Charitou, Anastasia Charitou and Dimitrios Charos, Dimitrios Charos and Iliana Vamenou, Iliana Vamenou and Victoria G. Vivilaki, Victoria G. Vivilaki (2019) Maternal and neonatal outcomes for women giving birth after previous cesarean. European Journal of Midwifery, 3 (1). pp. 1-7. ISSN 2585-2906

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Abstract

INTRODUCTION Rising rates of caesarean section (CS) is an issue of particular concern. Recently, there has been research supporting Vaginal Births After Caesarean (VBAC), which is controversial. In Greece, over half of births in the country are by CS, placing Greece among countries with the highest CS rates. The aim of this study was to investigate the prevalence and the factors associated with VBACs and to compare the maternal/neonatal outcomes with a ‘non-caesarean’ control group. METHODS The data were evaluated and retrospectively gathered on archived singleton
births, from medical records of a midwifery-led team, between May 2006 and May 2013. The target group of the study included mothers with a previous CS, who had a second
birth. The sample consisted of 71 VBAC women and 583 who had normal spontaneous vaginal delivery (NSVD) as the ‘non-caesarean’ control group. RESULTS The duration of labour was longer for the VBACs compared with first-time mothers who gave birth naturally (for duration 481–720 min, 27% vs 10.3%, respectively), episiotomy was more common for VBAC (20.7% vs 7.9%), and epidural analgesia was more often for VBAC (68.4% vs 10%). The percentage of 1-min Apgar score in the range 0–7 in the VBAC group was 5%, and there was no significant difference in women who had NSVD (3.6%). The Apgar score in the 5th minute was always above 8 for both groups. CONCLUSIONS Severe maternal and neonatal complications are infrequent, and therefore the necessity arises for further continuous studies to ascertain the safety of VBAC.

Item Type:	Article
Uncontrolled Keywords:	outcomes, Vaginal Birth after Cesarean, VBAC, trial of labour, TOL, repeat cesarean section
Subjects:	R Medicine > R Medicine (General)
Divisions:	Faculty of Medicine, Health and Life Sciences > School of Medicine
Depositing User:	Mrs Ni Made Yunia Dwi Savitri
Date Deposited:	15 Jun 2022 03:19
Last Modified:	15 Jun 2022 03:19
URI:	http://eprints.triatmamulya.ac.id/id/eprint/1186

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