Khatri Ratna Adhikari, Chand Arju, Thapa Manish, Thapa Sumana, Khadka Shailaja
Department of Obstetrics and Gynecology, Nepalese Army Institute of Health Sciences, Sanobharyang, Kathmandu, Nepal.
Department of Radiology, Nepalese Army Institute of Health Sciences, Sanobharyang, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2021 Jan;59(233):1-6. doi: 10.31729/jnma.5781. Epub 2021 Jan 31.
The rate of primary cesarean section is on the rising trend. Vaginal birth after cesarean section can be an alternative to reduce cesarean section worldwide. Antenatal examination and intrapartum monitoring are the most important factors for a vaginal birth after a cesarean section. This study aims to determine the acceptance of vaginal birth after cesarean section trial in a tertiary care hospital in Nepal.
This is a descriptive cross-sectional study carried out in Shree Birendra Hospital, Kathmandu, Nepal, from March 2019 to March 2020. All pregnant women with a previous history of cesarean section meeting Royal College of Obstetrics and Gynecology criteria were included. A trial of labor was conducted on the patients who accepted vaginal birth after cesarean section.
A total of 85 cases with previous lower section cesarean section were included in the study. Out of which, 75 (88.2%) refused vaginal birth after cesarean section, and only 10 cases (11.8%) accepted to undergo a trial of labor. Five women (50%) had a successful vaginal birth. Complications were less among the vaginal birth after cesarean section group than the repeat cesarean section group. There was no maternal and neonatal mortality.
The acceptance of vaginal birth after cesarean section is very low in this study. No complications were observed among vaginal birth after cesarean section in our study.
剖宫产率呈上升趋势。剖宫产术后经阴道分娩可作为全球范围内降低剖宫产率的一种替代方式。产前检查和产时监测是剖宫产术后经阴道分娩最重要的因素。本研究旨在确定尼泊尔一家三级护理医院对剖宫产术后经阴道分娩试验的接受情况。
这是一项描述性横断面研究，于2019年3月至2020年3月在尼泊尔加德满都的什里·比伦德拉医院开展。纳入所有有剖宫产史且符合皇家妇产科学院标准的孕妇。对接受剖宫产术后经阴道分娩的患者进行试产。
本研究共纳入85例既往行低位剖宫产的病例。其中，75例（88.2%）拒绝剖宫产术后经阴道分娩，仅10例（11.8%）接受试产。5名女性（50%）经阴道分娩成功。剖宫产术后经阴道分娩组的并发症少于再次剖宫产组。无孕产妇和新生儿死亡。
本研究中剖宫产术后经阴道分娩的接受率非常低。在我们的研究中，剖宫产术后经阴道分娩未观察到并发症。
