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[15 years vaginal delivery in post-cesarean status]
Geburtshilfe Und Frauenheilkunde
|April 1, 1993
Summary
Vaginal birth after caesarean section (VBAC) rates increased over 15 years, with lower complication rates. VBAC was successful, especially after one prior caesarean, showing no negative impact on fetal outcomes.
Area of Science:
- Obstetrics and Gynecology
- Reproductive Medicine
Context:
- Retrospective analysis of 673 births following caesarean section from 1976-1991.
- Comparison with a matched pair group to evaluate trends and outcomes.
- Observed an increasing trend in vaginal birth after caesarean section (VBAC) over the study period.
Purpose:
- To investigate the trends and outcomes of vaginal birth after caesarean section (VBAC).
- To assess the complication rates associated with VBAC.
- To evaluate the impact of conservative obstetrical management on VBAC.
Summary:
- VBAC rates increased significantly, from 59% to 42% over 15 years, primarily in women with one prior caesarean.
- Resection rates remained high (95%) for women with multiple prior caesareans.
- Low complication rates were observed, with three uterine ruptures and one maternal death during the study period.
Impact:
- The study indicates that increased VBAC rates can be achieved with a conservative approach.
- No correlation was found between increased VBAC rates and complication rates.
- Conservative management of VBAC did not negatively impact fetal outcomes.