Abstract
The study, conducted in the tertiary care military hospital of Muscat, Sultanate of Oman, describes the outcome of vaginal birth after caesarian section (VBAC) in women with a previous caesarean. The women opted for trial of labor was subjected to obstetric protocol of the hospital. Of the 370 women on trial of scar, 74.86% had successful vaginal delivery and 25.14% had emergency caesarean section. Majority (93%) had spontaneous onset of labor and it was induced in the rest with prostaglandin E2 vaginal gel. VBAC was higher in those with a prior vaginal birth and was poor among women operated upon earlier for failed progress of labour or cephalopelvic disproportion. But for one maternal death due to sickle cell crisis, no serious complications occurred for mother or the baby. To conclude, if women with previous single caesarean section for nonrecurring indication are subjected to trial of labor, around 75% could have successful vaginal delivery.
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