Vaginal birth after cesarean section (VBAC)‎ in grand-grand multiparous women : a retrospective case control study

الملخص EN

To determine the success rate, maternal complications and the neonatal outcome of attempting vaginal birth after cesarean section in grand-grand multiparous, Para 10 and more with one previous Cesarean section.

The second objective is to determine the success rate of VBAC according to parity.

A retrospective case controlled study conducted at the Maternity and Children Hospital in Makkah, Saudi Arabia during January 1, 2001 and December 31, 2004.

Fifty women who had previous ten (10) deliveries or more of which the last was cesarean section were selected as the study group and compared with two control groups, of parity ranging from 6-9 and 2-5 subsequently.

The success rate of vaginal birth after cesarean section was 34%, 54%, and 70% in the 3 groups subsequently.

There was an increase in the intrapartum complications in the study Group, which was not statistically significant.

There was an increase in the incidence of postpartum hemorrhage in the study group compared to other groups.

The postpartum febrile illness, hospital length of stay and the neonatal outcome were comparable in the 3 groups.

VBAC in grand grand multipara is an option; nevertheless, the success rate is lower than that reported in women with lower parity.