Effect of Vaginal Birth after Caesarean Section on women's Childbirth Experiences and Neonatal Outcomes

Authors

1 Assistant Lecturer, Maternity & Gynaecology Dep., Faculty of Nursing, Mansoura University

2 Professor, Maternity & Gynaecology Dep., Faculty of Nursing, Zagazig University

3 Lecturer, Maternity & Gynaecology Dep., Faculty of Nursing, Zagazig University

4 Lecturer, Maternity & Gynaecology Dep., Faculty of Nursing, Mansoura University

Abstract

Evidence based practice str`esses that Vaginal Birth after Caesarean Section (VBAC) is recommended for women with a previous lower segments caesarean section in the absence of indication for caesarean section as it offers the most benefits to the health of both mother and child. Aim of the study: were to assess the effect of VBAC on neonatal outcomes and maternal problems and to explore women’s views on their VBAC experiences. Design: A prospective cross sectional study. Setting The study was conducted at the Labor and Delivery Unit in Suez CanalUniversityHospital in IsmailiaCity.  Sample: Purposively 300 parturient women were recruited for the purpose of the study. Results: Findings showed that successful vaginal birth was achieved in 80% of women in the study; women with successful VBAC had more positive feeling compared to their last time than women with ERCS (Emergency Repeated Caesarean Section). The majority of successful VBAC women reported having their babies and started breast feeding immediately.  More than half of women in the study stressed their right to decide on their mode of birth but with more and enough information for the informed choice. Neonatal outcomes for a successful VBAC women were positive than those of newborn babies born by ECS.  Also, there were a statistically significant differences in relation to uterine dehiscence (p=0.003) and period of hospital stay (p=0.000) among women with successful VBAC and women with ECS.  The majority of women with successful VBAC and 40% of ERCS would plan for future vaginal birth and would recommend it for other women in the same situation. Conclusion: VBAC has positive outcomes on both neonate and women's post partum problems, birth experiences and early bonding.

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