ICPHSP6002 

                                                                                                         

“Successful vaginal birth after cesarean, the influence of maternal and obstetric factors: literature review”                             Click here to download Pdf file.

 

 

Authors:      

 1 Leonard Kamberi MD,Dr.; 2 Gjergji Theodhosi, Prof., Dr.,; 3 Fatjona Kamberi RN, MSN, PhD Candidate,

 

                   

Affiliations:

1Vlora Regional Hospital

2 University of Medicine, Tirana, Albania

3 Department of Public Health, Faculty of Public Health, University of Vlore

 

 

Abstract:

 

Background Cesarean section is one of the most common surgeries in the world, with rates continuing to rise, particularly in high- and middle-income countries. Although it can save lives, a new statement from the World Health Organization (WHO) underscores the importance that cesarean sections should only be performed when medically necessary because they put women and their babies at-risk of short- and long-term health problems.

 

Objectives To detect the maternal and obstetric factors associated with successful trial of vaginal birth among women after cesarean delivery.

 

Methods We searched the following electronic databases: Ovid , PubMed, Cochrane Library, NLM Tools. The selection criteria were published studies with successful trial of labor after cesarean. We included seven studies in this review with original data about maternal and obstetrical factors outcomes relevant to a topic area.

 

Results In the review, 75% of trial cases had a successful vaginal birth after cesarean. Cervical dilatation of more than 3 cm at the time of admission was a significant factor in favor of a successful vaginal birth. A half of them had spontaneous vaginal deliveries without augmentation of labour. Body mass index, ethnicity, induction of labour, a singleton pregnancy, a cephalic presentation with an appropriate fetal weight, and without obstetric contraindications of vaginal delivery were the most cited factors. The results point out to take into consideration the patient's preference, together with the proper setting for successful vaginal birth after cesarean.

 

Conclusion The insufficient literature about the association of maternal and obstetric factors and successful vaginal birth after cesarean is present. Previous reviews in the field point out the lack of data regarding the problem. These data will help women and clinicians to make truly informed decisions about appropriate delivery choices following one of the most common surgical procedures performed on women.

 

Key words:

Successful birth, cesarean, vaginal, maternal, obstetrical, factors.