Factors Associated with Success of VBAC in three Teaching Hospitals in Addis Ababa, Ethiopia: A casecontrol study
| dc.contributor.advisor | Gebrehiwot Yirgu | |
| dc.contributor.author | Birara Malede | |
| dc.date.accessioned | 2022-07-12T06:00:04Z | |
| dc.date.accessioned | 2025-01-08T14:27:18Z | |
| dc.date.available | 2022-07-12T06:00:04Z | |
| dc.date.available | 2025-01-08T14:27:18Z | |
| dc.date.issued | 2010-08 | |
| dc.description.abstract | Background:Vaginal delivery after previous one cesarean section for a non recurring indication has been described with many evidences as a safe practice and success rate of 60-80%.Hence many centers are offering VBAC for candidates leaving the century old dictum of once cesarean alwayscesarean. But predicting success of VBAC after TOL is still a difficult problem with lack of a validated tool of prediction world wide. Studies on predictors of success are fewand most of them conducted in developed countries and difficult to generalize. Therefore assessing factors associated with successful VBAC is very important to counsel mothers onVBAC.ObjectiveTo assess demographic, past and present obstetric factors associated with successfulVBAC In three teaching HospitalsinA. Methods:A casecontrol studywasconducted to compare the factors associated with successfulVBAC in teaching hospitals in Addis Ababa in one year period. The cases were thosesuccessfully delivered vaginally and the controlswerethose with failed VBAC and delivered byC/S. The sample sizewas101vaginal deliveries and the controls were 103 failed VBAC patientswhich made the case to control ratio of 1:1.In this study the factors associated with success ofVBAC wereprim parity, history of still birth, historyof successful VBAC in thepast, ruptureofmembrane at admission, cervical dilatation at admission, presenceof meconium and presence ofmalposition.Also 66 % of the failed VBAC patients had indications for the second C/S whichcould have been corrected by augmentation if there was no scar.. CONCLUSIONS and RECOMMENDATIONSBit: is possible to prepare a decision tool onthe success of VBAC by taking important past and present obstetric and reproductiveperformance history as predictor.. | en_US |
| dc.identifier.uri | https://etd.aau.edu.et/handle/123456789/32228 | |
| dc.language.iso | en_US | en_US |
| dc.publisher | Addis Ababa University | en_US |
| dc.subject | VBAC,Obstetric factors,Caesarean delivery | en_US |
| dc.title | Factors Associated with Success of VBAC in three Teaching Hospitals in Addis Ababa, Ethiopia: A casecontrol study | en_US |
| dc.type | Thesis | en_US |