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Clinical and Experimental Obstetrics & Gynecology  2021, Vol. 48 Issue (3): 607-614    DOI: 10.31083/j.ceog.2021.03.2439
Special Issue: Caesarean Section Today - “Caesarology in the 21st Century”
Original Research Previous articles | Next articles
Do women in Slovenia prefer vaginal birth after prior caesarean and what hinders its successful outcome? A single institution retrospective analysis
Faris Mujezinović1, 2, *(), Veronika Anzeljc1, Monika Sobočan2, 3, Iztok Takač2, 3
1Department of Perinatology, University Medical Centre Maribor, Ljubljanska ulica 5, 2000 Maribor, Slovenia
2Department of Gynecology and Obstetrics, Faculty of Medicine University of Maribor, Taborska ulica 8, 2000 Maribor, Slovenia
3Division of Gynecology and Perinatology, University Medical Centre Maribor, Ljubljanska ulica 5, 2000 Maribor, Slovenia
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Abstract  
Background: To analyze the mode of delivery and the outcome of a trial of labor in women with one prior caesarean birth. Methods: We extracted from the national database our hospital's information on women with a prior caesarean section from January 2014 to July 2019. They were then divided into groups that either opted for a trial of labor or repeat caesarean section. We further focused on the trial of labor group and divided them in two subgroups of either a vaginal delivery or repeat caesarean section. Results: 796 women with one prior caesarean section were identified and 201 (25.3%) opted for a trial of labor. Successful vaginal delivery was achieved in 84.1% of women that opted for a trial of labor. Women pregnant for the third time or greater delivered vaginally at a higher rate (24.3% vs 10.7%). More women who had labor induced with a Foley catheter ended in caesarean section (8.1% vs 17.9%). There was one uterine rupture without further complications. Failed trial of labor was caused by the lack of persistence (14.3%) and arrest of labor (50.0%). Conclusion: Improved counselling is needed for those women who choose a trial of labor. The rate of successful vaginal delivery following a trail of labor is high, but could be improved with more conservative management during the first stage of labor.
Key words:  Vaginal birth after a cesarean section      Trial of labor      Repeat caesarean delivery      Birth outcomes     
Submitted:  30 December 2020      Revised:  27 January 2021      Accepted:  04 February 2021      Published:  15 June 2021     
Fund: 
IRP- 2020/01-04/UMC Maribor Institutional Research
*Corresponding Author(s):  Faris Mujezinović     E-mail:  faris.mujezinovic@ukc-mb.si

Cite this article: 

Faris Mujezinović, Veronika Anzeljc, Monika Sobočan, Iztok Takač. Do women in Slovenia prefer vaginal birth after prior caesarean and what hinders its successful outcome? A single institution retrospective analysis. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(3): 607-614.

URL: 

https://ceog.imrpress.com/EN/10.31083/j.ceog.2021.03.2439     OR     https://ceog.imrpress.com/EN/Y2021/V48/I3/607

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