Factors Affecting Success of Vaginal Birth After Cesarean Section

NCT ID: NCT06680804

Last Updated: 2024-11-08

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Total Enrollment: 1 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2024-12-01
• Study Completion Date: 2025-05-01

Brief Summary

Factors affecting Success of Vaginal Birth After Cesarean Section in Sohag University Hospitals

Detailed Description

• Clinical data will be collected from the participants including demographic details such as age, maternal age, parity, BMI, gestational age based on last menstrual period or early ultrasound scans available.
• Full medical and surgical history, previous CS details as an indication, and previous complications.
• Patients' clinical abdominal and per vaginal examination on admission (cervical dilatation, effacement head station, and position).
• CTG attached on admission (to exclude fetal distress).
• Laboratory investigations that will be done before delivery and postpartum, Labor progress on the partogram will be assessed as regard duration of both first and second stages of labor if any instrumental delivery will be done.
• Radiology investigations such as US.
• Records for patients' vital signs, fetal cardiac activity during labor, vaginal bleeding, delivery notes, fetal weight, and 5 minutes APGAR score, and any recorded maternal or fetal complications.
• If failed VBAC: Causes of failure maternal and fetal outcomes will be recorded and immediate CS to be done

Conditions

Vaginal Delivery

Study Design

• Observational Model Type: OTHER
• Study Time Perspective: CROSS_SECTIONAL

Study Groups

Group I: Successful VBAC group

Successful VBAC group whose take chance for vaginal delivery.

chance for vaginal delivery.

Intervention Type: OTHER

chance for vaginal delivery in patients who had delivered by Caesarean section in first pregnancy

Group II: Failed VBAC group

Failed VBAC group whose take chance for vaginal delivery.

chance for vaginal delivery.

Intervention Type: OTHER

chance for vaginal delivery in patients who had delivered by Caesarean section in first pregnancy

Interventions

chance for vaginal delivery.

chance for vaginal delivery in patients who had delivered by Caesarean section in first pregnancy

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• • Age from 20 to 40 years.

• Time interval more than 1.5 years from previous caesarean section.
• Single viable full-term pregnancy in vertex presentation.
• Reactive cardiotocography (CTG) on admission.
• Spontaneous labor onset.
• Clinically adequate pelvis.
• Single fetus
• Average AFI fetus

Exclusion Criteria

• • Women with previous upper segment cesarean section or hysterotomy scar.

• Any obstetric complications such as fetal malpresentation, placenta previa, or medical disorders like diabetes mellitus or preeclampsia.
• Presence of any signs and symptoms of scar dehiscence or ruptured uterus, known uterine fibroid or anomaly.
• Suspected fetal macrosomia (weight more than 4 kg).
• Multifetal pregnancy.
• Parturient women who refused the trial of vaginal birth after caesarean section.

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 40 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

Sohag University

OTHER

Sponsor Role: lead

Responsible Party

Nahla Rashwan Ezz-eldine

Resident at obstetrics and gynecology , sohag university

Responsibility Role: PRINCIPAL_INVESTIGATOR

Central Contacts

Nahla Rashwan ezzeldine, master

Role: CONTACT

nashwa_rashwan_post@med.sohag.edu.eg

01013774970

Other Identifiers

soh-Ned-15-10_9MS

Identifier Type: -

Identifier Source: org_study_id