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Obstetric outcomes of vaginal birth after caesarean section in Bingham University Teaching Hospital, Jos, Nigeria

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dc.contributor.author Edugbe, AE
dc.contributor.author Bitrus, J
dc.contributor.author Okeke, CN
dc.contributor.author John, O
dc.contributor.author Mikah, S
dc.date.accessioned 2024-09-19T11:05:22Z
dc.date.available 2024-09-19T11:05:22Z
dc.date.issued 2023-09
dc.identifier.citation Edugbe AE, Bitrus J, Nnawike OC, John O, Mikah S. Obstetric outcomes of vaginal birth after caesarean section in Bingham University Teaching Hospital, Jos, Nigeria. Int J Reprod Contracept Obstet Gynecol 2023;12:2911-5. en_US
dc.identifier.issn 2320-1789
dc.identifier.uri http://localhost:8080/xmlui/handle/123456789/2805
dc.description.abstract Background: Objective of the study was to review the obstetric outcomes of vaginal birth after caesarean section (VBAC) in Bingham University Teaching Hospital (BhUTH). Methods: A retrospective review of women planned for VBAC at BhUTH from January, 2020 to December 2021. Variables measured included gestational age at time of delivery, inter-delivery interval, and vaginal delivery before or after primary caesarean section (CS), outcome of labor, indications for repeat CS, neonatal and maternal outcomes. Results: During the study period there were 1535 deliveries and 94 were planned VBAC. Of the 94, 55.3% had a repeat emergency CS while 44.7% had a successful VBAC. Successful VBAC rate was 52.4% in multipara compared to 47.6% in primipara. Repeat CS rate was 34.6% in multips and 65.4% in primaparas. The commonest indication for the repeat CS was failure to progress due to cephalopelvic disproportion, 26.9%, mal-positioning, 25.0%, fetal distress and poor uterine contractions accounted for 13.5% each. Prior vaginal delivery especially a prior VBAC was associated with a higher rate of successful VBAC, 40.5% compared to VBAC rate of 21.4% in those who had a vaginal delivery before the caesarean section. The successful VBAC rate was highest among those weighing 2.5<3.5 kg, 66.7% compared to fetal weight of <2.5 kg and ≥3.5 kg birth weight. Conclusions: The VBAC rate observed is higher than what is obtainable in other centers in our country but is far less than what is obtainable in the developed societies. The maternal and perinatal morbidity and mortality are however comparable with the developed societies despite our limited facilities. en_US
dc.description.sponsorship Authors en_US
dc.language.iso en en_US
dc.publisher International Journal of Reproduction, Contraception, Obstetrics and Gynecology en_US
dc.subject VBAC, Caesarean section, Obstetric outcome en_US
dc.title Obstetric outcomes of vaginal birth after caesarean section in Bingham University Teaching Hospital, Jos, Nigeria en_US
dc.type Article en_US


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