Trial of scar Vaginal birth after Cesarean section (VBAC)

摘要

Introduction: The increasing safety of C/S particularly with regard To the maternal & perinatal morbidity & mortality and fear of litigation Made the incidence of repeat of C/S to increase. Women in the Libyan society Tend to favor large families And since abdominal delivery Could invariably disturb The obstetric career. The success rate for trial of labor After C/S varies between 60 To 80 %. Factors identified for success of VBAC. Non repeated indication, Vaginal birth before or after, Maternal age & height,Infant weight, Delivery in a tertiary care hospital.Risks & benefits associated with VBAC Neither repeat C/S Nor trial of labour' Is risk free.When VBAC is successful Less Maternal mortality & morbidity, Less Neonatal mortality & morbidity Less .Costly Less Hospital stay, but More Chance for vaginal birth for Future pregnancies . When VBAC is unsuccessful high Maternal morbidity & Morbidity , Rupture of uterine scar , hysterectomy. Infection , bleeding. Neonatal mortality & Morbidity especially Neurological impairment