Factors Associated with Successful Vaginal Birth After Cesaraen Section and its outcome in Asella Teaching and Referral Hospital, Ethiopia, 2018.

Mekonen HussenTeshome Hulemenash2018-11-162023-11-062018-11-162023-11-062018-06http://etd.aau.edu.et/handle/123456789/14301Background: Vaginal delivery after previous one cesarean section for a non recurringindication has been described by several authors as safe and havinga success rate of 60–80%.Planned VBAC is appropriate for and may be offered to the majority of women with asingleton pregnancy of cephalic presentation at 37 weeks or beyond who have had a singleprevious lower segment caesarean delivery, with or without a history of previous vaginalbirth. Labor should be conducted in a centre with suitable expertise and recourse to immediate surgical delivery. Objectives: The objective of the study was to assess factors associated with successfulVBAC and its outcome in Asella Referral and Teaching Hospitals. Methods: An institutional based case-control study was conducted in Asella Referral andTeaching Hospital in a two years period. The data was collected from patients’ charts aftertracing a patient’s number and a double proportion sampling technique was used to determine sample size of 288 using EPIinfo version 3.5.4. Sample size was determined using unmatchedcase control. Result: Two hundred eighty-eight mothers with history of one previous cesarean deliveryattempted vaginal birth after cesarean section. We found between successful vaginal birthafter cesarean section and previous vaginal birth, prior successful vaginal delivery after cesarean section, presented with cervical dilatation more than or equal to 4 cm and intact membrane at admission (P<0.0001). Whereas, factors like meconium > grade I and durationof labor >481minute and weights did not affect vaginal birth after cesarean section outcome. Conclusion and Recommendation: Careful selection of patients is the corner stone for successful vaginal birth after cesarean section with special consideration of gestational age and condition of membrane, and develop national evidence-based clinical practice guidelines is crucial.en-USVaginal delivery,Vaginal Birth After Cesarean SectionFactors Associated with Successful Vaginal Birth After Cesaraen Section and its outcome in Asella Teaching and Referral Hospital, Ethiopia, 2018.Thesis