Clinical analysis and countermeasures of the perinatal outcome of vaginal birth after cesarean delivery

Abstract

Objective To provide midwives evidence for the evaluation of pregnant women during the process of vaginal birth after cesarean delivery (VBAC) by analyzing the clinical data of perinatal outcome of VBAC, so as to develop supporting interventions, ensure maternal safety and improve the success rate of vaginal delivery. Methods Totals of 284 pregnancy women who were pregnant after cesarean section and admitted from April 2015 to July 2016 were selected. According to the perinatal outcome of delivery, they were divided into VBAC group (n=119) , elected repeat cesarean delivery (ERCS) group (n=106) , and the unsuccessful trial of labor after cesarean (TOLAC) group (n=59) . Maternity outcomes were compared among these three groups. Results In 284 cases, 62.7% (178 cases) selected vaginal delivery, of which 119 were successful, with a success rate of 66.85%, and the remaining 59 cases transferred to cesarean section. Compared with the ERCS group, the VBAC group had lighter prenatal weight, higher cervical score, and shorter postpartum hospitalization time, with a statistical difference (P<0.05) . Compared with the unsuccessful TOLAC group, the cervical score and the natural fertility rate of the fetus of the VBAC group were higher (P<0.05) . Conclusions Midwives can conduct a comprehensive assessment of pregnant women who are pregnant after cesarean according to their individual problems, and provide targeted nursing management and support during delivery. It is recommended prenatal knowledge education should be given in outpatient clinic to promote the success of the VBAC. Key words: Cesarean section; Vaginal birth after cesarean; Perinatal outcome; Countermeasures