Abstract:
There is growing concern about rising global caesarean delivery (CD) rates. One of the strategies to overcome this problem is
to reduce primary caesarean section. A trial of labour following a previous CD is another option that may be explored.
AIM
The aim of the study was to determine the success rate and risk factors for women attempting vaginal birth after a prior
caesarean delivery (VBAC).
METHODS
This was a retrospective analysis from 2013-2018 of women attempting a vaginal birth after caesarean section at a tertiary
level hospital in Pretoria, South Africa.
RESULTS
The VBAC success rate was 36%. Factors that were associated with a successful VBAC were a third pregnancy, previous
successful VBAC (61%), presentation in the active phase of labour and a neonatal birthweight of less than 3kg.
CONCLUSION
Pregnant women with a CD in a prior pregnancy should be appropriately counselled regarding delivery options. Risks and
benefi ts of elective repeat caesarean delivery versus trial of labour should be clearly explained to expectant mothers.
