Pregnancy Outcome in Women with Previous One Cesarean Section, Experience from Kingdom of Saudi Arabia.

Objectives: The aim of this study is to determine the outcome of pregnancy in women with previous one cesarean section as successful trial of scar and vaginal delivery, and repeated caesarian section. Methodology: This is a retrospective cohort hospital-based study was conducted in Maternity and Children Hospital Al- HASA. Included booked women and non-booked pregnant women and had previous one cesarean section. Data were collected from delivery room log book and medical files when more details were required. Those who were eligible for the study were 299 women who underwent comprehensive analysis. Main results: The successful vaginal delivery was (73.9%). No reported cases of maternal mortality or morbidity. However, there were tender scar with no dehiscence or rupture uterus (4 %). No neonatal mortality, however, 6% of the CS were indicated by fetal distress. There was statistically significant association between gestational age and fetal weight (P < 0.01) and between the gestational age and Apgar score (P < 0.01). Significant results was found between outcome and previous successful vaginal birth after cesarean (VBAC) (P < 0.001) and with spontaneous vaginal deliveries (P Value 0.004) and between previous cause of C-Section and the outcome was highly significant (P < 0.001). Conclusion: In this study the maternal and fetal outcome of VBAC were quite satisfactory. Policy maker can use the findings of this study to develop strategy to decrease the cesarean section rate. Safe practice that enhances VBAC success rate without increasing mortality and morbidity should be evaluated. [ABSTRACT FROM AUTHOR]

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