January 2018 Vol. 6 No.1

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Original Research Article

Elective vaginal delivery at ≥37 weeks and 39 weeks gestation completed in patients of previous one cesarean

Wasan Adnan Abduhameed

High Institute of Infertility Diagnosis and Assisted Reproductive Technologies, Al-Nahrain University, Baghdad-IRAQ

E-mail: wasan271968ok@gmail.com

Accepted January 16, 2018

Abstract

The rate of cesarean have increased internationally and this leads to increase in the number of previous one cesareans, which will reduce the chance of normal vaginal delivery and may lead to second cesarean section with all the maternal and fetal complications of cesarean including anesthesia and financial burden both to the patient and to government. While vaginal delivery is safer, easier, less complicated, less or no anesthesia complication, less financial burden, wider family size, better breast feeding. The aim of this study is to make the hospitals “mother friendly hospitals” in addition to “baby friendly hospitals” by supporting vaginal delivery weather in primigravida or in previous one cesarean as in our study. Women of previous one cesarean section gathered from antenatal care unit from June 2015 till December 2015 with certain inclusion criteria including transverse section, uncomplicated >37 weeks gestation, cephalic, normally located placenta, interpregnancy interval of 1year. No cephalopelvic disproportion have been booked early in pregnancy and followed properly according to ANC guideline fully evaluated and educated and counseled with her husband and she signed advised to attend in labor and to be covered by second on call (consultant). Patient with classical or T-shaped uterus incision, patient with prior uterine rupture or myomectomy scar with one cesarean or less than 1year, (Cesareanis excluded from the study). The rate of vaginal delivery vary from 50% at June to 60% July to 80% August to 75% in September to 100% then 100% in October, November, December. Vaginal delivery rate can reach optimal level after one cesarean section if the patient is involved in inclusion criteria.

Keywords: Vaginal delivery rate, one cesarean section