Objectives: to investigate labor patterns and mode of delivery of aginal births after cesarean (VBAC) versus unsuccessful trial of labor after cesarean (TOLAC) in a South African district hospital, and the influence of the indication for the primary cesarean section (C- section) on the subsequent mode of delivery. Methods: Retrospective audit of the partogram of 202 VBAC and 382 repeat C- section. There were 108 elective repeat cesarean deliveries (ERCD) and 274 emergency repeat C- sections after unsuccessful TOLAC. The indication of the primary C- section was known in 127: 43 (33.9% ) VBAC and 84 (66.1% ) repeat C- sections. Results: The indication for the primary C- section in terms of recurrent/non recurrent did not affect the subsequent mode of delivery (χ 2=3.5; P=0.06; OR 0.49, 95% CI 0.23- 1.04). The indication of the primary C- section in terms of dysfunctional/non dysfunctional labor did not reoccur in the same parturients (χ 2=0.01; P=0.91; OR 0.94, 95% CI 0.35- 2.55). Conclusion: Dysfunctional labor accounted for most primary and repeat emergency C- sections, but not as a recurrent condition in the same parturients.
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