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Background: The rising caesarean section rate worldwide is an increasingsource of concern to all. A significant contributor to this is a previouscaesarean delivery. One strategy in the armamentarium of obstetricians forreducing this is vaginal birth after one caesarean section VBAC. The safety,outcome and complications of this procedure in our Center which is in adeveloping country had never been studied hence the need for this work. Aim: Tofind out the outcome and complications of vaginal births after one caesareandelivery in our Center. Method: A retrospective study involving a ten-yearreview of all cases of trials of labour after one caesarean delivery in ourCenter was done. Result: Of the 305 trials of labour after one caesareandelivery, 221 women had vaginal birth giving a vaginal birth after onecaesarean section rate of 72.5%. Majority of the babies 303 99.2% were aliveand had good Apgar scores while 2 0.7% died giving a perinatal mortality rateof 7 per 1000 babies. There were complications in 21 6.7% of the women with retainedplacenta, in 7 2.3% of the women as the commonest, followed by postpartumhaemorrhage in 6 1.96%. Five 1.62% women had scar dehiscence while 30.98% had uterine rupture. Conclusion: Vaginal birth after one caesareansection is safe in well selected cases even in our resource poor settings. Itoffers our women a culturally-acceptable option of fulfilling long-held dreamsof vaginal delivery even after one caesarean section and should be offered toour women whenever possible.

KEYWORDS

One Previous Caesarean Section, Vaginal Birth, Southeast Nigeria

Cite this paper

Esike, O. , Onoh, C. , Anozie, B. , Umeora, U. , Aluka, O. and Twomey, E. 2016 Vaginal Birth after One Caesarean Section—Ten Years Experience in a South Eastern Nigerian Hospital. Open Journal of Obstetrics and Gynecology, 6, 240-245. doi: 10.4236-ojog.2016.64030.





Autor: O. U. Chidi Esike1*, C. Robinson Onoh1, B. Okechukwu Anozie1, U. J. Odidika Umeora1, O. Christian Aluka2, E. Deirdre Twomey3

Fuente: http://www.scirp.org/



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