Background: Recent trends in cesarean section (CS) have led to worldwide concern because of their steady increase and risks of maternal complications. This study aimed to assess the success rate and safety of vaginal delivery after CS in cases of a previous CS.
Methodology: This was a retrospective observational study performed at Maternity and Children Hospital at Madinah, Saudi Arabia, in 2016-2017, among 120 women who underwent a previous CS.
Results: In the present study, 93% of cases had a successful vaginal delivery after CS and 7% underwent a repeated CS for a failed trial of vaginal delivery. Women with parity 4. Birth weight of more than 3.5 kg was associated with a lower success rate of vaginal delivery. However, 94% of the cases were delivered vaginally after the CS without postpartum complications, and there was no neonatal or maternal mortality.
Conclusion: Women with the history of a previous CS were considered more favorable for vaginal delivery. The study showed the high success of vaginal birth after CS and fewer maternal and neonatal complications.
Key words: Cesarean section, intrauterine growth restriction, lower segment cesarean section, vaginal birth after cesarean, vaginal delivery.
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