Volume 6, Issue 5, September 2018, Page: 113-119
The Clinical Analysis of Vaginal Delivery After Cesarean Section, and Favorable factors for Vaginal Delivery
Yanhua Liu, Department of Obstetrics and Gynecology, the Fourth Hospital of Hebei Medical University, Shijiazhuang, People’s Republic of China
Guangpu Liu, Department of Obstetrics and Gynecology, the Fourth Hospital of Hebei Medical University, Shijiazhuang, People’s Republic of China
Zheng Wang, Department of Obstetrics and Gynecology, the Fourth Hospital of Hebei Medical University, Shijiazhuang, People’s Republic of China
Huixin Zhang, Department of Obstetrics and Gynecology, the Fourth Hospital of Hebei Medical University, Shijiazhuang, People’s Republic of China
Received: Aug. 9, 2018;       Accepted: Sep. 4, 2018;       Published: Sep. 29, 2018
DOI: 10.11648/j.jgo.20180605.12      View  310      Downloads  33
Abstract
The different modes of delivery and outcomes of mother and child in pregnant women who had prior cesarean section, and analysed favorable factors of vaginal delivery. Summarized characteristics related to vaginal delivery after cesarean section, in order to guide the clinic, decrease the rate of cesarean section, and promote natural childbirth. We designed an prospective study of pregnant women had single prior cesarean section (segmental transverse uterine scar), singleton, cephalic presentation, and full-term pregnancy, the total number was 379. Observed the mode of delivery and analysed the beneficial factors of vaginal delivery. Baseline maternal data and perinatal outcomes were recorded for a descriptive, and multivariate analysis. A p value<0.05 was considered significant. In this study, 87 cases pregnant women had trial of labor, 64 cases were vaginal delivery finally, the success rate was 73.56% (64/87). The maternal age, BMI index in pre-pregnancy and pregnancy, and blood loss were all smaller in women who had vaginal delivery than re-cesarean section (p<0.05). The gestational weeks, cervical maturity, and interval time from the prior cesarean section were larger in women had vaginal delivery (p<0.05). Multivariate analysis showed maternal age, BMI index in pre-pregnancy, cervical maturity and psychology were related to vaginal delivery. VBAC is feasible and safe. Most women had previous cesarean section refuse to trial of labor, often to choose re-cesarean section. So control the first indication of cesarean section is rather important in China. Attention women’s weight before pregnant and psychology in pregnancy are significant. A management system of vaginal birth after cesarean were established, which to guide pregnant women more better and strengthen the education. In the meantime, have a good relationship and the trust between doctors and patients, pay attention to humanistic care, create a safe and comfortable environment to delivery should not be ignored.
Keywords
Trial of Labor, Vaginal Delivery After Cesarean Section, Mode of Delivery, Re-cesarean Section, BMI Index, Psychology
To cite this article
Yanhua Liu, Guangpu Liu, Zheng Wang, Huixin Zhang, The Clinical Analysis of Vaginal Delivery After Cesarean Section, and Favorable factors for Vaginal Delivery, Journal of Gynecology and Obstetrics. Vol. 6, No. 5, 2018, pp. 113-119. doi: 10.11648/j.jgo.20180605.12
Copyright
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
Lumbiganon P, Laopaiboon M, Gulmezoglu AM. Method of delivery and pregnancy outcomes in Asia: the WHO global survey on maternal and perinatal health 2007-2008. Lancet, 2010; 375 (9):490-499.
[2]
Scott JR. Vaginal birth after cesarean: a common sense approach. Obstet Gynecol, 2011; 118 (pt 1):342-350.
[3]
Grobman WA, Lai Y, Landon MB. Development of a nomogram for prediction of vaginal birth after cesarean delivery”. Obstet Gynecol; 2007, 109 (4):806-812.
[4]
Malede Birara, Yirgu Gebrehiwot. Factors associated with success of vaginal birth after one caesarean section (VBAC) at three teaching hospitals in Addis Ababa, Ethiopia: a case control study. BMC Pregnancy and Childbirth, 2013; 13, 31.
[5]
Flamm BL, Geiger AM. Vaginal birth after cesarean delivery: an admission scoring system. Obstet Gynecol, 1997;90 (6):907-910.
[6]
Smith GC, Pell JP, Pasupathy D. Factors predisposing perinatal death related to uterine rupture during attempted vaginal birth after caesarean section. BMJ, 2004; 329, 375.
[7]
Mehmet Baki Senturk, Yusuf Cakmak, Halit Atac. Factors associated with successful vaginal birth after cesarean section and outcomes in rural area of Anatolia. International Journal of Women’s health, 2015; 7:693-697.
[8]
Zelop CM, Shipp TD, Cohen A, Repke JT, Lieberman E. Trial of labor after 40 weeks’ gestation in women with prior cesarean. Obstet Gynecol, 2001; 97, 391-393.
[9]
Coassolo KM, Stamilio DM, Pare E. Safety and efficacy of vaginal birth after cesarean attempts at or beyond 40 weeks of gestation. Obstet Gynecol, 2005; 106:700.
[10]
Elkousky MA, Samuel M, Stevens E. The effect of birth weight on vaginal birth after cesarean delivery success rates. Am J Obstet Gynecol, 2003; 188:824-830.
[11]
Zelop CM, Shipp TD, Repke JT. Outcomes of trial of labor following previous cesarean delivery among women with fetuses weighing>4000 g. Am J Obstet Gynecol, 2001;185 (4):903-905.
[12]
Lorie M. HARPER, David M. STAMILIO, Anthony O. ODIBO, Jeffrey F. PEIPERT. Vaginal birth after cesarean for cephalopelvic disproportion: effect of birth-weight difference on success. Obstet Gynecol, 2011; 117 (2 Pt 1):343-348.
[13]
Durnwald CP, Ehrenberg HM, Mercer BM. The impact of maternal obesity and weight gain on vaginal birth after cesarean section success. Am J Obstet Gynecol, 2004;191 (3):954-957.
[14]
Regan J, Keup C, Wolfe K. Vaginal birth after cesarean success in high-risk women: a population-based study. J Perinatol, 2015; 35 (4):252-257.
[15]
Callegari LS, Sterling LA, Zelek ST. Interpregnancy body mass index change and success of term vaginal birth after cesarean delivery. Am J Obstet Gynecol, 2014; 210 (4):330. e1-7.
[16]
Durnwald C, Mercer B. Vaginal birth after Cesarean delivery: predicting success, risks of failure. JMatern Fetal Neonatal Med, 2004; 15 (6):388-93.
[17]
Kwon JY, Jo YS, Lee GS. Cervical dilatation at the time of cesarean section may affect the success of a subsequent vaginal delivery. Maternal Fetal Neonatal Med, 2009; 22 (11):1057-1062.
[18]
Nilanchali Singh, Reva Tripathi, Y. M. Mala, Rashmi Dixit. Scar thickness measurement by transvaginal sonography in late second trimester and third trimester in pregnant patients with previous cesarean section: does sequential change in scar thickness with gestational age correlate with mode of delivery? J Ultrasound, 2015; 18 (2):173-178.
[19]
Sentilhes L, Vayssiere C, Beucher G. Delivery for women with a previous cesarean: guideline for clinical practice from the French College of Gynecologists and Obstetricians (CNGOF). Eur J Obstet Gynecol Reprond Biol, 2013;170:25-32.
[20]
Srinivas SK, Stamilio DM, Sammel MD. Vaginal birth after caesarean delivery: does maternal age affect safety and success? Paediatr Perinat Epidemiol, 2007; 21 (2):114-120.
[21]
Sepúlveda-Mendoza DL, Galván-Caudillo M, Soto-Fuenzalida GA. Factors associated with successful vaginal birth in women with a cesarean section history. Ginecol Obstet Mex, 2015; 83 (12): 743-749.
[22]
Smriti Gupta, Shanti Jeeyaselan, Raka Guleria, Anjali Gupta. An observational study of various predictors of success of vaginal delivery following a previous cesarean section. J Obstet Gynaecol India, 2014; 64 (4):260-264.
[23]
Vinturache A, Moledina N, McDonald S. Pre-pregnancy Body Mass Index (BMI) and delivery outcomes in a Canadian population. BMC Pregnancy Childbirth, 2014; 20 (14):422.
[24]
Zhang T, Liu C. Comparison between continuing midwifery care and standard maternity care in vaginal birth after cesarean. Pak J Med Sci.2016; 32 (3):711-714.
[25]
Goldman G, Pineault R, Potvin L. Factors Influencing the practice of vaginal birth after cesarean section. Am J Public Health, 1993; 83 (8): 1104-1108.
[26]
Amy M. Romano, Hilary Gerber, Desirre Andrews. Social media, power, and the future of VBAC. J Perinat Educ, 2001; 19 (3):43-52.
[27]
Shorten A, Fagerlin A, llluzzi J. Developing an Internet-Based Decision Aid for Women Choosing Between Vaginal Birth After Cesarean and Planned Repeat Cesarean. Midwifery Womens Health, 2015; 60 (4): 390-400.
[28]
Konheim-Kalkstein YL, Whyte R. What are VBAC Women Seeking and Sharing? A Content Analysis of Online Discussion Boards. Birth, 2015; 42 (3):277-282.
[29]
Susan Folsom, M Sean Esplin, Sean Edmunds, Torri D. Metz. Patient counseling and preference for elective repeat cesarean delivery. AJP Rep, 2016; 6 (2):e226-e231.
[30]
Ingela Lundgren, Patricia Healy, Margaret Carroll, Cecily Begley, Andrea Matterne. Clinicians’ views of factors of importance for improving the rate of VBAC (vaginal birth after caesarean section): a study from countries with low VBAC rates. BMC Pregnancy Childbirth, 2016; 16, 350.
[31]
Ingela Lundgren, Evelien van Limbeek, Katri Vehvilainen-Julkunen. Clinicians’ views of factors of importance for improving the rate of VBAC (vaginal birth after caesarean section): a qualitative study from countries with high VBAC rates. BMC Pregnancy Childbirth, 2015; 15, 196.
[32]
Mairead Black, Vikki A Entwistle, Silaitya Bhattacharya, Kaitie Gillies. Vaginal birth after caesarean section: why is uptake so low? Insights from a meta-ethnographic synthesis of women’s accounts of their birth choices. BMJ Open, 2016;6, 1.
[33]
Landon MB, Hauth JC, Leveno KJ. Maternal and perinatal outcomes associated with a trial of labor after prior cesarean delivery. N Engl J Med, 2004; 351 (25): 2581-2589.
[34]
Macones GA, Peipert J, Nelson DB. Maternal complications with vaginal birth after cesarean delivery: a multicenter study. Am J Obstet Gynecol, 2005; 193 (5): 1656-1662.
[35]
Scott JR. Intrapartum management of trial of labor after caesarean delivery: evidence and experience. Bjogan International Journal of Obstetrics and Gynaecology, 2014; 121 (2): 157-162.
[36]
Holmgren C, Scott JR, Porter TF. Uterine rupture with attempted vaginal birth after cesarean delivery: decision-to-delivery time and neonatal outcome. Obstet Gynecol, 2012; 119 (4): 725-731.
Browse journals by subject