Vaginal birth after cesarean (vbac) success and complication ratios in our clinic

Headnote

Keywords: VBAC, vaginal birth, cesarean, complication

[PP-265]

Objective: We wrote this article to present our vaginal birth after cesarean (vbac) ratios, success and complications in our tertiary gynecology and obstetric clinic at Koru Hospital,in Ankara

Material and Methods: This is a retrospective study, we collect 36 patients who applied to our hospital at active labor with history of cesarean delivery (cd) between january 2012 to may 2016. Non of them were augmented. We are presenting our vaginal birth success and maternal complication ratios.

Results: Mean mother age 31.6 +/- 0.6 (29-35), 26 of patients gave vaginal birth, with success ratio 72.2% (26/38). 8 patients had history of previous vaginal birth. 2 patients had a history of cesarean delivery before. 6 patients went to cd because of arrest in labor, 4 because of fetal distress. One patient which was operated because of fetal distress, had uterine rupture at the old cesarean scar. She was transfused with two bags eritrosit and one fresh frozen plasma bag. Neonates who are delivered with vaginal birth has mean weight 3163 +/-73.4 gr (29504520). Four baby is hospitalised because of transient tachypnea of the newborn for one night however all babies are disharged with mother.

Conclusion: In the literature vbac success is between 70-80% for favorable mothers. Our results are similar with the literature. Due to rupture risk, vbac has to be performed at suitable hospitals with urgent intervention plan and available staff. Also factors like, age of mother, average weight by gestational age, avoiding augmentation, previous history of vaginal birth, spontane active labor are important at VBAC success. We think at tertiary level clinics vbac may be effective in reducing the increasing rate of cesarean birth.