Journal of Family and Reproductive Health 2016. 10(4):206-210.

Evaluation of Maternal- Neonatal Outcomes in Vaginal Birth After Cesarean Delivery Referred to Maternity of Academic Hospitals
Masoumeh Mirteymouri, Sedigheh Ayati, Leyla Pourali, Mahboubeh Mahmoodinia, Maliheh Mahmoodinia


Objective: To evaluate the maternal and neonatal complications of vaginal birth after cesarean section (VBAC).
Materials and methods: This cross sectional study was conducted in Mashhad University of medical sciences. Eighty women with previous cesarean section who were candidate for VBAC were enrolled the study. Patients were followed up for 6 weeks after delivery. The complication of VBAC was compared between successful or unsuccessful VBAC cases. Data was analyzed by SPSS version 16.
Results: VBAC success rate was 91%. Post-partumhemorrhage occurred in 2.7% of woman with successful VBAC and 1.3% of CS cases. Maternal and neonatal death did not happen during our study, and none of our cases experienced uterine rupture, dystocia and neonatal tachypnea. Neonatal complications include NICU admission and neonatal resuscitation frequency in VBAC and CS were 6.8% and 57.1%, respectively (p = 0.002). Birth weight of neonates in successful VBAC was 2940 ± 768 grams and 3764 ± 254 grams in unsuccessful VBAC and this difference was significant (p = 0.007). Mean maternal admission duration in VBAC and CS were 1 ± 0.1 days and 2 ± 0.4 days (p < 0.001). Successful breastfeeding rate were higher in VBAC patients (95.8%) in comparison with CS (42.9%) and this difference was statistically significant (p = 0.002).
Conclusion: Our results revealed that VBAC can be considered as a safe maternal and neonatal delivery method in patients with past CS women.



Vaginal Birth; Cesarean Section; Maternal Complications; Neonatal Complications

Full Text:



Sadat Z. Reasons for elective cesarean section in Iranian women.Nurs Midwifery Stud 2014; 3: e22502.

Sedigh Mobarakabadi S, Mirzaei Najmabadi K, Ghazi Tabatabaie M. Ambivalence towards childbirth in a medicalized context: a qualitative inquiry among Iranian mothers. Iran Red Crescent Med J 2015;17:e24262.

Valiani M, Haghighatdana Z, Ehsanpour S. Comparison of childbirth trainingworkshop effects on knowledge, attitude, and delivery method between mothers and couples groups referring to Isfahan health centers in Iran. Iran J Nurs Midwifery Res 2014;19:653-8.

Villar J, Valladares E, Wojdyla D, Zavaleta N, Carroli G, Velazco A, et al. Caesarean delivery rates and pregnancy outcomes: The 2005 WHO global survey on maternal and perinatal health in Latin America. Lancet 2006; 367: 1819–29.

Lyerly AD, Little MO.Toward an ethically responsible approach to vaginal birth after cesarean. Semin Perinatol 2010; 34: 337-44.

Grobman WA, Lai Y, Landon MB, Spong CY, Leveno KJ, Rouse DJ, et al . Eunice Kennedy Shriver National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network. Can a prediction model for vaginal birth after cesarean also predict the probability of morbidity related to a trial of labor? Am J Obstet Gynecol 2009; 200: 56.e1-6.

Barger MK, Weiss J, Nannini A, Werler M, Heeren T, Stubblefield PG. Risk factors for uterine rupture among women who attempt a vaginal birth aftera previous cesarean: a case-control study. J Reprod Med 2011; 56: 313-20.

Oboro V, Adewunmi A, Ande A, Olagbuji B, Ezeanochie M, Oyeniran A. Morbidity associated with failed vaginal birth after cesarean section. Acta Obstet Gynecol Scand 2010;89: 1229-32.

García-Benítez CQ, López-RiojaMde J, Monzalbo-Núñez DE. [Vaginal birth after cesarean. A safe option?]. Ginecol Obstet Mex 2015; 83: 69-87.

Knight HE, Gurol-Urganci I, van der Meulen JH, Mahmood TA, Richmond DH, Dougall A, et al. Vaginal birth after caesarean section: a cohort study investigating factors associated with its uptake and success. BJOG. 2014; 121:183-92.

Scifres CM, Rohn A, Odibo A, Stamilio D, Macones GA. Predicting significant maternal morbidity in women attempting vaginal birth after cesarean section. Am J Perinatol 2011;28: 181-6.

Al-Shaikh G, Al-Mandeel H. The outcomes of trial of labour after cesarean section following induction of labour compared to spontaneous labour. Arch Gynecol Obstet 2013; 287: 1099-103.

Regan J, Keup C, Wolfe K, Snyder C, DeFranco E. Vaginal birth after cesarean success in high-risk women: a population-based study. J Perinatol 2015; 35: 252-7

Melamed N, Segev M, Hadar E, Peled Y, Wiznitzer A, Yogev Y. Outcome of trial of labor after cesarean section in women with past failed operative vaginal delivery. Am J Obstet Gynecol2013; 209: 49.e1-7.

Metz TD, Stoddard GJ, Henry E, Jackson M, Holmgren C, Esplin S. Simple, validated vaginal birth after cesarean delivery prediction model for use at the time of admission. Obstet Gynecol 2013;122:571-8.

Al-Shaikh G, Al-Mandeel H. The outcomes of trial of labour after cesarean section following induction of labour compared to spontaneous labour. Arch Gynecol Obstet 2013; 287: 1099-103.

Hammad IA, Chauhan SP, Gherman RB, Ouzounian JG, Hill JB, Abuhamad AZ. Neonatal brachial plexus palsy with vaginal birth after cesarean delivery: a case-control study. Am J Obstet Gynecol 2013; 208: 229.e1-5.

Fagerberg MC, Marsal K, Källen K. Neonatal outcome after trial of labor or elective cesarean section in relation to the indication for the previous cesarean delivery. Acta Obstet Gynecol Scand 2013;92:1151-8.

Holmgren C, Scott JR, Porter TF, Esplin MS, Bardsley T. Uterine rupture with attempted vaginal birth after cesarean delivery: decision-to-delivery time and neonatal outcome. Obstet Gynecol 2012; 119: 725-31.

Frass KA, Al Harazi AH. Outcome of vaginal birth after caesarean section in women with one previous section and spontaneous onset of labour. East Mediterr Health J 2011; 17: 646-50.

Bangal VB, Giri PA, Shinde KK, Gavhane SP. Vaginal birth after cesarean section. N Am J Med Sci 2013; 5: 140-4.

Damle LF, Wilson K, Huang CC, Landy HJ, Gomez-Lobo V. Do They Stand a Chance? Vaginal Birth after Cesarean Section in Adolescents Compared to Adult Women. J Pediatr Adolesc Gynecol 2015;28:219-23.

Phelan JP, Clark SL, Diaz F, Paul RH. Vaginal birth after caesarean. Am J Obstet Gynecol 1987;157: 1510–5.

Ramirez MM, Gilbert S, Landon MB, Rouse DJ, Spong CY, Varner MW et al. Mode of delivery in women with antepartum fetal death and prior cesarean delivery. Am J Perinatol 2010; 27:825-30.

Mone F, Harrity C, Toner B, Mcnally A, Adams B, Currie A. Predicting why women have elective repeat cesarean deliveries and predictors of successful vaginal birth after cesarean. Int J Gynaecol Obstet 2014;126: 67-9.

Blanchette H, Blanchette M, McCabe J, Vincent S. is vaginal birth after cesarean safe? Experience at a community hospital. Am J Obstet Gynecol 2001;184:1478-84.

Celeste RK, Warmling CM. [Brazilian bibliographical output on public oral health in public health and dentistry journals]. Cien Saude Colet 2014;19:1921-32.

Gilbert SA, Grobman WA, Landon MB, Spong CY, Rouse DJ, Leveno KJ, et al. Elective repeat cesarean delivery compared with spontaneous trial of labor after a prior cesarean delivery: a propensity score analysis. Am J Obstet Gynecol 2012; 206:311.e1-9.


  • There are currently no refbacks.

Creative Commons Attribution-NonCommercial 3.0

This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.