Turkish Journal of Medical Sciences

A Retrospective Analysis of Vaginal Birth After Cesarean Section




Cesarean section (C/S) is now the most major surgery in many countries. In the U.S.A, the C/S rate has reached 22 % and repeat C/S has become the largest indication group. We examined 632 patients retrospectively who had had previous C/S and were admitted ot Ottawa General Hospital. After excluding patients with more than one previous C/S or vaginal birth after C/S (VBAC), patients were classified into 3 groups. Group 1: trial of labour and successful vaginal delivery group which included 165 patients; group 2: trial of labour followed by C/S group with 68 patients; group 3: no trial of labour and elective C/S group with 281 patients. Among the 233 patients who underwent a trial of labour, 165 (71%) delivered vaginally. There was one wound dehiscence and one uterine rupture (which was not at the old uterine scar) as maternal complications. There was no perinatal death related to a previous C/S. In the no-trial of labour group, 50% of women were found to be eligible for a trial of labor restrospectively. Therefore C/S could have been avoided in our study group.


Vaginal births after cesarean section, cesarean section, trial of labour, vaginal delivery.

First Page


Last Page


This document is currently not available here.