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Study of Mode of Delivery in a Sample of Women with History of Previous One Cesarean Section
Back ground: Vaginal birth after cesarean is still worth trying in developing countries; to expand their wish in future fertility prospect and to reduce morbidity and mortality associated with multiple caesarean sections.Objective: Aim of this study is to throw alight on the rate of cesarean section and the success rate of vaginal birth in a sample women with previous one cesarean section. Collection of data (200 sample) was done during the period The sample was 200 women were selected for the study randomly in a period March – July, 2023.pateints and methods: a cross sectional study in AL-Imamain Alkhadamian Medical City and Al-yarmuk hospital .A study carried out on all term, , with one previous cesarean section pregnant woman, admitted in out patient ; 87of them were selected for a trial of vaginal delivery and 113 decided for cs.
Results: A total of 200 women having previous one cesarean section ; out of which 87(43,50%)attempted vaginal birth after cesarean and 113(56,50%)were delivered by cs,The success rate in vaginal trial was 77% % ; less in women age 35 years and less in patient with chronic disease as diabetes mellitus and hypertension and the rate are 18,2%,0,0%6,5% respectively. Conclusion: Trial of vaginal birth after cesarean is still a challenge that reflects the clinical performance of obstetricians. The recorded success rate was 77% from the women who given a trial . And 56,50% of cases were delivered by cs.
Keywords: Mode of Delivery ; vaginal birth ; Cesarean Section(C/S)