Background: To analyze the mode of delivery and the outcome of a trial of labor in women with one prior caesarean birth. Methods: We extracted from the national database our hospital’s information on women with a prior caesarean section from January 2014 to July 2019. They were then divided into groups that either opted for a trial of labor or repeat caesarean section. We further focused on the trial of labor group and divided them in two subgroups of either a vaginal delivery or repeat caesarean section. Results: 796 women with one prior caesarean section were identified and 201 (25.3%) opted for a trial of labor. Successful vaginal delivery was achieved in 84.1% of women that opted for a trial of labor. Women pregnant for the third time or greater delivered vaginally at a higher rate (24.3% vs 10.7%). More women who had labor induced with a Foley catheter ended in caesarean section (8.1% vs 17.9%). There was one uterine rupture without further complications. Failed trial of labor was caused by the lack of persistence (14.3%) and arrest of labor (50.0%). Conclusion: Improved counselling is needed for those women who choose a trial of labor. The rate of successful vaginal delivery following a trail of labor is high, but could be improved with more conservative management during the first stage of labor.
Announcements
Open Access
Original Research
Do women in Slovenia prefer vaginal birth after prior caesarean and what hinders its successful outcome? A single institution retrospective analysis
Show Less
1
Department of Perinatology, University Medical Centre Maribor, Ljubljanska ulica 5, 2000 Maribor, Slovenia
2
Department of Gynecology and Obstetrics, Faculty of Medicine University of Maribor, Taborska ulica 8, 2000 Maribor, Slovenia
3
Division of Gynecology and Perinatology, University Medical Centre Maribor, Ljubljanska ulica 5, 2000 Maribor, Slovenia
*Correspondence: faris.mujezinovic@ukc-mb.si (Faris Mujezinović)
Clin. Exp. Obstet. Gynecol. 2021, 48(3), 607–614;
https://doi.org/10.31083/j.ceog.2021.03.2439
Submitted: 30 December 2020 | Revised: 27 January 2021 | Accepted: 4 February 2021 | Published: 15 June 2021
(This article belongs to the Special Issue Caesarean Section Today - “Caesarology in the 21st Century”)
Copyright: © 2021 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license (https://creativecommons.org/licenses/by/4.0/).
Abstract
Keywords
Vaginal birth after a cesarean section
Trial of labor
Repeat caesarean delivery
Birth outcomes
Funding
IRP- 2020/01-04/UMC Maribor Institutional Research
Figures
Fig. 1.