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Article
SUCCESSFUL TRIAL OF LABOR AFTER PRIMARY AND REPEATED CESAREAN SECTIONS: A CASE REPORT

Author: Yosra T. Jarjees يسرى طاهر جرجيس
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2017 Volume: 15 Issue: 1 Pages: 103 -105
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

This is a case report of a patient who achieved a successful vaginal birth for five times attended by a traditional birth attendant twice after two cesarean sections and thrice after three cesarean sections.Keywords:Vaginal birth after cesarean delivery, VBAC, VBAC delivery, trial of labor after cesarean delivery, prior cesarean delivery, risks for uterine rupture, vaginal delivery


Article
Factors affecting success of trial of labour afterprevious one lower segment Caesarean section

Author: Raida M. Al-Wazzan رائدة محمد الوزان
Journal: Annals of the College of Medicine Mosul مجلة طب الموصل ISSN: 00271446 23096217 Year: 2010 Volume: 36 Issue: 1&2 Pages: 121-129
Publisher: Mosul University جامعة الموصل

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Abstract

ABSTRACT
Objective: The aim was to analyze the different factors associated with successful trial of labor after previous one lower segment cesarean delivery in our institution.
Patients and methods: A Prospective case-series study was done at Al-Batool Maternity Teaching Hospital, Mosul on 476 women with previous one lower segment Caesarean delivery subjected to trial of labour between January 2009 and mid June 2009.
Results: Successful trial of labour and vaginal delivery was reported in 82%. The factors that were found to be significantly associated with successful trial of labour are: parity of 2-4, history of previous vaginal delivery and particularly history of vaginal birth after Caesarean, fetal malpresentation as the indication of previous Caesarean, inter-pregnancy interval longer than 12 months, gestational age ≤ 40 weeks, cervical dilation ≥4 cm, cervical effacement ≥50%, station lower than –1 and intact membrane at time of admission, clear liquor and neonatal weight < 4000 grams.
Conclusions: The factors present in woman's obstetric history and during her intrapartum course in the current pregnancy and birth weight that had significant differences in this study can be used as predictor of successful trial of labour and will help obstetrician to identify women who are more likely to attempt trial of labor and have a successful vaginal birth after previous one lower segment Caesarean delivery.

Keywords: Caesarean section, vaginal birth after Caesarean (VBAC), trial of labour after Caesarean delivery (TOL), prior Caesarean delivery.

الهدف: دراسة العوامل التي قد تؤثر في نجاح محاولة الولادة الطبيعية عند النساء اللواتي لديهن تاريخ عملية قيصرية واحدة سابقة.المرضى وطريقة البحث: دراسة مستقبلية لـ 476 مريضة لديها تاريخ عملية قيصرية واحدة سابقة واللواتي أعطين محاولة الولادة الطبيعية. الاستنتاج: نسبة نجاح محاولة الولادة الطبيعية عند النساء اللواتي لديهن تاريخ عملية قيصرية واحدة هي 82%. هناك عدة عوامل ترتبط بزيادة نجاح محاولة الولادة وهي: ولادة 2-4 أطفال، تاريخ ولادة طبيعية سابقة خاصة إذا كانت بعد العملية القيصرية، سبب العملية القيصرية السابقة هو الوضعية غير الطبيعية للجنين عند الولادة، الفترة بين الولادة السابقة والحمل الحالي أكثر من 12 شهر، مدة الحمل الحالي أقل من40 أسبوع، توسع عنق الرحم ≥4 سنتمتر، الغشاء السلوي (الأمنيوني) غير ممزق عند دخول المستشفى، لون السائل السلوي (الأمنيوني) طبيعي ووزن الوليد أقل من 4000 غرام.

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