Afraa Mahjoob Al-Naddawi, Rafah Khalil Ibrahim
Abstract: Background one third of cesarean section is due to previous cesarean section, therefore trial of vaginal birth is an important measure to decrease cesarean section rates. Objective To determine the delivery outcome in patients with previous one cesarean section. Study design A prospective analysis of delivery outcome of 73 women with previous one cesarean section who delivered at Baghdad Teaching Hospital between November 2014 - May 2015 was carried out. Results Of the 73 women with previous one cesarean section, 33 (45.2 %) had 2nd cesarean section without trial of scar and the remaining 40 patients had trial of scar, 20 (27.3 %) had failed trial and ended with 2nd cesarean section, 20 (27.3 %) had a succeeded trial. No significant perinatal morbidity was observed. Vaginal birth after cesarean section rate was significantly more in women who had prior vaginal deliveries, especially in those with previous vaginal birth after cesarean section. Conclusion A trial of labor after a prior cesarean section is often successful, in carefully selected cases.
Keywords: cesarean section, trial of scar, vaginal delivery