Pernatal and maternal outcome among pre vious ceasarean scar at attat lourd merry primary hospital, gurage zone,southernnations and nationalities regional state, Ethiopia

Abstract

Background:Vaginal delivery after previous one cesarean section for a non-recurring indication has been described by several authors as safe and having a success rate of 60–80%. Hence many centers are offering VBAC for candidates leaving the century old dictum of once cesarean always cesarean. But predicting success of VBAC after trial of scar (TOs) is still a difficult task due to the lack of a validated prediction tool. Studies on predictors of success are few and most of them conducted in developed countries and difficult to generalize. Objective: To determine the perinatal and maternaloutcomeof pregnancy in women with previous one cesarean section who give birth at Attat Catholic Hospital from October r01/2015-Septmeber30/2016 GC. MATERIALS AND METHODES: Facility based retrospective cross-sectional study were conducted at Attat Catholic Hospital, Ethiopia fromOctober01/2015-Septmeber30/2016 GC. The data on Socio-demographic and obstetric factors were collected from medical record booksusing pretested data collection format by trained data collectors. The collected data were cleaned, edited, and fed to computer to be analyzed using SPSS for window version 16. Descriptive statistics was used to describe the study variables. Logistic regression analysis Bivariate and multivariate logistic regression were employed to assess the relative effect of determinants and statistical tests such as Odds ratios (95% confidence intervals) was used to see the associations. A P<0.05 was considered as statistically significant in all types of tests for significance. Results;from total deliveries of 169 who had pervious one caesarean section s scar from which repeated caesarean section 104 (61.5%) and majoriy81(78%) were done as emergence and 146 offered TOS from that 65(44.5%) had successful VBAC and CPD was the major indication for failed VBAC. In logistic regression analysis, parity,passage of liquor at admission, history of vaginal birth after cesarean, cervical dilation during admissionand indication for pervious indication for cesarean section showed significant association to the success ofVBAC CONCLUSION; successful vaginal delivery after one previous cesarean scar was 45.5% which was relatively low .trial of vaginal birth after cesarean section should be encouraged for appropriate cases .Because of previous cesarean section was the major maternal indication for cesarean section attention should be given to the indication of cesarean delivery to avoid unnecessary cesarean section