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40027

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

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Last updated: 22 Jan 2023

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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.

DOI

10.21608/znj.2009.40027

Keywords

VBAC, Women's experiences, informed choice, vaginal birth, Neonatal outcomes

Authors

First Name

Tayseer

Last Name

Fathy

MiddleName

Mohamed

Affiliation

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

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First Name

Sanaa Ali Nour

Last Name

Nour

MiddleName

Ali

Affiliation

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

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City

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Orcid

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First Name

Hend

Last Name

El-Din

MiddleName

Salah

Affiliation

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

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City

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Orcid

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First Name

Amina

Last Name

El-Nemer

MiddleName

El-Nemer

Affiliation

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

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City

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Orcid

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Volume

5

Article Issue

1

Related Issue

6376

Issue Date

2009-01-01

Receive Date

2019-07-09

Publish Date

2009-01-01

Page Start

1

Page End

18

Print ISSN

2090-6110

Link

https://znj.journals.ekb.eg/article_40027.html

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https://znj.journals.ekb.eg/service?article_code=40027

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9

Publication Type

Journal

Publication Title

Zagazig Nursing Journal

Publication Link

https://znj.journals.ekb.eg/

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Article

Created At

22 Jan 2023