Examining the Frequency of Complications of Vaginal Birth After Cesarean Delivery in Postpartum Time: A Retrospective Case-Series

Mahshid  Shooshtari; Shohre  Movahedi; Shima  Tavakkolian; Ghazal  Roshanzadeh; Zahra  Ghalenoee

doi:10.18502/acta.v63i6.20680

Mahshid Shooshtari Department of Obstetrics and Gynecology, Baharloo Hospital, Tehran University of Medical Sciences, Tehran, Iran
Shohre Movahedi Department of Obstetrics and Gynecology, Baharloo Hospital, Tehran University of Medical Sciences, Tehran, Iran
Shima Tavakkolian Department of Obstetrics and Gynecology, Ayatollah Mousavi Hospital, Zanjan University of Medical Sciences, Zanjan, Iran
Ghazal Roshanzadeh Clinical Research Development Center, Baharloo Hospital, Tehran University of Medical Sciences, Tehran, Iran
Zahra Ghalenoee Department of Obstetrics and Gynecology, Baharloo Hospital, Tehran University of Medical Sciences, Tehran, Iran

DOI: https://doi.org/10.18502/acta.v63i6.20680

Keywords: Vaginal birth after cesarean (VBAC); Trial of labor after cesarean; VBAC

Abstract

This study investigates the complications associated with unplanned vaginal birth after cesarean delivery (VBAC) among women in Sistan-Balochistan province, who often delay hospital visits until labor is imminent due to concerns about clinician acceptance. A retrospective case-series study was conducted at Khash and Baharloo hospitals from September 2021 to October 2022. Data on all VBAC deliveries were collected from hospital records with informed consent. Maternal demographics, delivery profiles, and complications were analyzed using SPSS 22 software. The study investigated the safety and complications associated with vaginal birth after cesarean (VBAC) among 120 women, ultimately analyzing data from 114 participants after excluding those who underwent cesarean delivery due to failed trial of labor after cesarean (TOLAC). Out of 114 women who achieved VBAC, there were no maternal deaths. Complications included 5 (4.3%) uterine ruptures and 2 (1.7%) cases of endometritis. Four neonates had an Apgar score< 7 at five minutes, including one intrauterine fetal death (IUFD). Understanding the complications associated with VBAC is essential for developing localized guidelines tailored to individual patient needs.