Factors Associated with Success Rate of Vaginal Birth After Single Caesarean Section in Khartoum Maternity Hospital

Abstract

Objectives: To determine success rate of VBAC (Vaginal birth after cesarean section) with reference to prognostic factors to predict successful VBAC in Khartoum Maternity Hospital- Sudan Methodology: It was descriptive, cross sectional and hospital based study conducted in a period of one year, involving 342 pregnant women with one previous C/S who were admitted in the labor room as emergency cases, were evaluated thoroughly, data collected through designed questionnaire include:- Socio-demographic characters, antenatal clinic follow up, previous C/S, variables affect success of VBAC and outcome of current pregnancy. Results: A total of 342 pregnant women involved in this study, the majority of them (78.36%) were counseled for VBAC. Fetal distress was the most common cause for previous C/S (39.77%) and failure to progress account for 24.56%. Factors affecting success of the VBAC in this study were; BMI between 25-30 was 58.77%, previous successful VBAC was 44.15% and birth weight between 3-3.5kg was 47.37%. The outcome of this pregnancy were; 67.3% had successful VBAC, while 23.7% had emergency caesarean section Conclusion: This study reported 67.3% success rate of VBAC and concludes a significant increase in the successful rate of VBAC associated with accurate prior ante natal care, meticulous counseling, prior vaginal delivery, previous success VBAC, BMI between 25-30 and maternal age <35 years.