Evaluation of Trials of Labor After Previous Cesarean Section in Ain Shams University Maternity Hospital

Vaginal Birth After Cesarean Clinical Trial

Official title: Evaluation of Trials of Labor After Previous Cesarean Section in Ain Shams University Maternity Hospital

Status Completed

Clinical Trial Summary

The purpose of the study to evaluate the practice and short term maternal and perinatal outcomes of trial of labor after cesarean section offered to women at Ain Shams University Maternity Hospital (ASUMH) during the 3-year period from January 2013 to December 2015.

Clinical Trial Description

This is a retrospective study that was performed at Ain Shams University Maternity Hospital.

The following data will be gathered (whenever available), tabulated and subjected to the proper statistical analysis:

History:

• Age

• Duration of marriage

• Inter-pregnancy interval

• Gestational age (by menstrual dates or US)

• Obstetric history (parity, mode of delivery, assisted vaginal delivery, previous vaginal birth after cesarean section, neonatal outcome)

• Present and past history of any medical, surgical or obstetric problems; history of infection after previous CS

General examination:

• General condition

• Vital data

Abdominal examination:

• Fundal level

• Estimated fetal weight (clinically or by US)

• Scar tenderness

Vaginal examination on admission:

• Cervical status

• Station of presenting part

• Membranes status

• Pelvic adequacy

Investigations performed:

• Complete Blood Count

• Ultrasonography

Intrapartum management:

• Progress and duration of labor according to partogram (or admission-delivery time)

• Intrapartum complications; placental abruption, uterine rupture, hysterectomy, complications during surgical intervention if any

Mode of delivery:

• Vaginal delivery (spontaneous, assisted, complications)

• Cesarean section (indication, scar dehiscence)

Postpartum Data:

• Postpartum hemorrhage

• Blood transfusion

• Neonatal outcome; fetal weight, birth trauma, Neonatal Intensive Care Unit admission, mortality ;

Related Conditions & MeSH terms

• Vaginal Birth After Cesarean

• NCT number: NCT03098966
• Study type: Observational
• Source: Ain Shams University
• Status: Completed
• Phase: N/A
• Start date: January 2013
• Completion date: December 2015