Interdelivery intervals for a vaginal birth after caesarean delivery

The aim of this study was to determine the successful rate of vaginal birth after caesarean (VBAC) in women with inter-delivery interval (IDI) below and above 19 months (≤ 19 months), apart from comparing the maternal morbidity and the fetal outcome between the two groups. This is a cross-sectional...

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Main Authors:	Mohd Yusof, Norhayati, Ismail, Hamizah, Nusee, Zalina, Mohd Rus, Razman
Format:	Book
Language:	English
Published:	IIUM Press, International Islamic University Malaysia 2017
Subjects:	RG Gynecology and obstetrics
Online Access:	http://irep.iium.edu.my/61943/ http://irep.iium.edu.my/61943/ http://irep.iium.edu.my/61943/1/61943_Interdelivery%20intervals%20for%20a%20vaginal%20birth%20after%20delivery.pdf

id	iium-61943
recordtype	eprints
spelling	iium-619432019-12-24T00:44:41Z http://irep.iium.edu.my/61943/ Interdelivery intervals for a vaginal birth after caesarean delivery Mohd Yusof, Norhayati Ismail, Hamizah Nusee, Zalina Mohd Rus, Razman RG Gynecology and obstetrics The aim of this study was to determine the successful rate of vaginal birth after caesarean (VBAC) in women with inter-delivery interval (IDI) below and above 19 months (≤ 19 months), apart from comparing the maternal morbidity and the fetal outcome between the two groups. This is a cross-sectional study that was conducted in the Obstetrics & Gynaecological Department Hospital Tengku Ampuan Afzan, Kuantan Pahang from June 2013 until June 2015. The sample populations were women who had one previous caesarean section currently pregnant with singleton foetus in cephalic presentation. Those who have had a VBAC and those who were not suitable for VBAC were excluded from the study. The collected data were analyzed using IBM SPSS Statistics 20. Chi-square and Fisher exact tests were employed for categorical variables, and the Independent-samples t- test was used for continuous variables. Multivariate analysis was done using binary logistic regression to evaluate the association of VBAC success with inter-delivery interval and other potential confounding factors. A P value of < 0.05 was considered statistically significant. Of the 590 women, 300 of them were randomly chosen for analysis. Sixty of them were in the group A (IDI≤19 months) while 240 women were in the group B (IDI >19 months). In this study, the shorter the IDI, the higher success rate of VBAC (78.3% versus 55% for group A and group B respectively). There was no difference in terms of maternal morbidities of the two groups. The rates of uterine rupture or dehiscence were also of no significant difference for both groups (0.0% versus 0.4%; p = 0.632). No significant perinatal outcome was also observed. As a conclusion, in our population, the success rate of VBAC for IDI≤19 months were comparable to the IDI>19 months, and with no significant association either with maternal or neonatal morbidity. Therefore, these results may be helpful to obstetricians for counseling and recommending VBAC for women with short inter-delivery interval. Thus the aim of reducing caesarean section rates and its associated morbidity can be achieved. IIUM Press, International Islamic University Malaysia 2017 Book PeerReviewed application/pdf en http://irep.iium.edu.my/61943/1/61943_Interdelivery%20intervals%20for%20a%20vaginal%20birth%20after%20delivery.pdf Mohd Yusof, Norhayati and Ismail, Hamizah and Nusee, Zalina and Mohd Rus, Razman (2017) Interdelivery intervals for a vaginal birth after caesarean delivery. IIUM Press, International Islamic University Malaysia, Kuala Lumpur, Malaysia. ISBN 978-967-418-736-1 http://iiumpress.iium.edu.my/bookshop
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RG Gynecology and obstetrics
spellingShingle	RG Gynecology and obstetrics Mohd Yusof, Norhayati Ismail, Hamizah Nusee, Zalina Mohd Rus, Razman Interdelivery intervals for a vaginal birth after caesarean delivery
description	The aim of this study was to determine the successful rate of vaginal birth after caesarean (VBAC) in women with inter-delivery interval (IDI) below and above 19 months (≤ 19 months), apart from comparing the maternal morbidity and the fetal outcome between the two groups. This is a cross-sectional study that was conducted in the Obstetrics & Gynaecological Department Hospital Tengku Ampuan Afzan, Kuantan Pahang from June 2013 until June 2015. The sample populations were women who had one previous caesarean section currently pregnant with singleton foetus in cephalic presentation. Those who have had a VBAC and those who were not suitable for VBAC were excluded from the study. The collected data were analyzed using IBM SPSS Statistics 20. Chi-square and Fisher exact tests were employed for categorical variables, and the Independent-samples t- test was used for continuous variables. Multivariate analysis was done using binary logistic regression to evaluate the association of VBAC success with inter-delivery interval and other potential confounding factors. A P value of < 0.05 was considered statistically significant. Of the 590 women, 300 of them were randomly chosen for analysis. Sixty of them were in the group A (IDI≤19 months) while 240 women were in the group B (IDI >19 months). In this study, the shorter the IDI, the higher success rate of VBAC (78.3% versus 55% for group A and group B respectively). There was no difference in terms of maternal morbidities of the two groups. The rates of uterine rupture or dehiscence were also of no significant difference for both groups (0.0% versus 0.4%; p = 0.632). No significant perinatal outcome was also observed. As a conclusion, in our population, the success rate of VBAC for IDI≤19 months were comparable to the IDI>19 months, and with no significant association either with maternal or neonatal morbidity. Therefore, these results may be helpful to obstetricians for counseling and recommending VBAC for women with short inter-delivery interval. Thus the aim of reducing caesarean section rates and its associated morbidity can be achieved.
format	Book
author	Mohd Yusof, Norhayati Ismail, Hamizah Nusee, Zalina Mohd Rus, Razman
author_facet	Mohd Yusof, Norhayati Ismail, Hamizah Nusee, Zalina Mohd Rus, Razman
author_sort	Mohd Yusof, Norhayati
title	Interdelivery intervals for a vaginal birth after caesarean delivery
title_short	Interdelivery intervals for a vaginal birth after caesarean delivery
title_full	Interdelivery intervals for a vaginal birth after caesarean delivery
title_fullStr	Interdelivery intervals for a vaginal birth after caesarean delivery
title_full_unstemmed	Interdelivery intervals for a vaginal birth after caesarean delivery
title_sort	interdelivery intervals for a vaginal birth after caesarean delivery
publisher	IIUM Press, International Islamic University Malaysia
publishDate	2017
url	http://irep.iium.edu.my/61943/ http://irep.iium.edu.my/61943/ http://irep.iium.edu.my/61943/1/61943_Interdelivery%20intervals%20for%20a%20vaginal%20birth%20after%20delivery.pdf
first_indexed	2023-09-18T21:27:52Z
last_indexed	2023-09-18T21:27:52Z
_version_	1777412313313181696

Interdelivery intervals for a vaginal birth after caesarean delivery

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