Vaginal birth after cesarean section in grand multiparous women

Archives of Gynecology and Obstetrics
Tarik Y Yamani Zamzami

Abstract

To determine the rate, delivery outcome and safety of attempted vaginal birth after cesarean section (VBAC) in grand multiparous women (para 6 or more). This is a retrospective case-control study, performed at King Abdulaziz university hospital, the charts of 405 grand multiparous women with previous caesarean section were reviewed to determine rate and delivery outcome of attempted VBAC. The outcome of 217 VBAC in grand multiparous women was compared to the outcome of 217 VBAC in multiparous women (para 2-5) during the same period. The rate of VBAC in grand multiparous women was 53.6%. One hundred-seventy five (80.7%) grand multiparous women were delivered vaginally compared to 170 (78.3%) in multiparous women, this was not statistically significant difference. Sixteen (7.4%) grand multiparous women need labor augmentation with oxytocin, while 34 (16%) in multiparous women, this was statistically significant difference (P value 0.005). The labor duration was 6.4+/-3.5 h in grand multiparous women compared to 9.0+/-4.3 h in multiparous women, and was also statistically significant difference (P value 0.001). The fetal weight, Apgar scores, postpartum hemorrhage, fever and number of hospital days in the two groups, were not stat...Continue Reading

Citations

Jul 1, 2009·Oman Medical Journal·Veena PaliwalSonal Singh
Oct 25, 2007·Archives of Gynecology and Obstetrics·Eitan KuglerReli Hershkovitz
Jan 10, 2014·Obstetrics and Gynecology·Hila HochlerDavid Mankuta
Sep 13, 2005·Journal of Midwifery & Women's Health·Gwen LatendresseJudith T Fullerton
Jul 16, 2020·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Misgav RottenstreichSorina Grisaru-Granovsky

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