Factors Affecting Success of Vaginal Birth After Cesarean Section

Launched by SOHAG UNIVERSITY · Nov 7, 2024

Keywords

ClinConnect Summary

This clinical trial is looking into what factors can help women successfully have a vaginal birth after previously having a cesarean section (C-section). The study will take place at Sohag University Hospitals, and it aims to understand how certain conditions and characteristics can influence the chances of a successful vaginal delivery for women who have had a C-section before.

To be eligible for this trial, women need to be between 20 and 40 years old and must have had at least 1.5 years since their last C-section. They should be pregnant with a single baby who is in a head-down position and should be going into labor on their own. The study will not include women who have had certain complications in past pregnancies or medical conditions. If a woman joins the trial, she can expect to be closely monitored throughout her labor and delivery process, helping to gather important information that could assist other women in the future.

Gender

FEMALE

Eligibility criteria

• Inclusion Criteria:
• • • Age from 20 to 40 years.
• • Time interval more than 1.5 years from previous caesarean section.
• • Single viable full-term pregnancy in vertex presentation.
• • Reactive cardiotocography (CTG) on admission.
• • Spontaneous labor onset.
• • Clinically adequate pelvis.
• • Single fetus
• • Average AFI fetus
• Exclusion Criteria:
• • • Women with previous upper segment cesarean section or hysterotomy scar.
• • Any obstetric complications such as fetal malpresentation, placenta previa, or medical disorders like diabetes mellitus or preeclampsia.
• • Presence of any signs and symptoms of scar dehiscence or ruptured uterus, known uterine fibroid or anomaly.
• • Suspected fetal macrosomia (weight more than 4 kg).
• • Multifetal pregnancy.
• • Parturient women who refused the trial of vaginal birth after caesarean section.