Success Rate of Vaginal Birth After Cesarean Section and Associated Factors Among Women Who Gave Birth at Adama Hoapital Medical College

Tayachew Desalegn Bekele; Tesfaye Getachew Charkos; Heran Ararsa

doi:doi:10.11648/j.ejcbs.20251102.11

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Success Rate of Vaginal Birth After Cesarean Section and Associated Factors Among Women Who Gave Birth at Adama Hoapital Medical College

Tayachew Desalegn Bekele^*

, Tesfaye Getachew Charkos

, Heran Ararsa

Published in European Journal of Clinical and Biomedical Sciences (Volume 11, Issue 2)

Received: 13 January 2025 Accepted: 5 March 2025 Published: 21 March 2025

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Abstract

Background; Vaginal Birth After cesarean section (VBAC) is considered a viable and safe option for many women who have previously undergone a cesarean section, particularly when the initial cesarean section was performed for a non-recurring indication. Studies indicates that VBAC can lead to lower rates of maternal complications and faster recovery times with success rate of 60-80% compared to elective repeat cesarean deliveries. Objective; to assess success rate of vaginal birth after cesarean section and factors associated with VBAC in woman who gave birth at AHMC in 2024. Method; institutional based cross-sectional study was conducted at AHMC involving 208 mothers who had undergone one previous cesarean section. Data were collected using a structured checklist that was pretested prior to the study. The collected data were entered and cleaned using Epi-data version 3.7 and analyzed with SPSS version 24 to determine frequency distributions, means, and standard deviations. Bivariate and Multivariate logistic regression analyses were performed to evaluate the success rate of vaginal birth after cesarean section and to identify factors associated with VBAC. A 95% confidence interval and 5% level precision were used to determine the presence of associations between and independent variables in the final model. Result; the total number of mothers with one previous cesarean section who were offered trial of labor and included in this study were 208. Out of these 86 (41.3%) with CI (34.59%-48.09%) had successful vaginal birth. Independent variables history of pervious VBAC (AOR=6.306 [1.143-34.802]), rupture of membrane at admission [AOR=5.758 [2.588-12.812] and Low station at admission [AOR=6.807 [2.34-19.796] are highly associated with VBAC. Conclusion; The study concluded that the overall success rate of Vaginal Birth after Cesarean (VBAC) in this research is consistent with findings from earlier studies conducted in Ethiopia. Key factors identified as predictors of VBAC success include a prior history of vaginal delivery following a cesarean section (C/S) scar, low fetal station, and membrane rupture. These elements play a significant role in determining the likelihood of a successful VBAC.

Published in	European Journal of Clinical and Biomedical Sciences (Volume 11, Issue 2)
DOI	10.11648/j.ejcbs.20251102.11
Page(s)	16-23
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2025. Published by Science Publishing Group

Keywords

Success Rate, Previous C/S, Vaginal Birth, VBAC, AHMC

References

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[2]	Burrows LJ ML, Weber AM,. Maternal morbidity associated with vaginal versus cesarean delivery. Obstet Gynecol. 2004; 103(1): 907-12.
[3]	Kwong FL HI. Postnatal diagnosis of an occult uterine scar dehiscence after three uncomplicated vaginal births after Caesarean section: A case report. Case Rep Womens Health 2020.
[4]	DagneAddisuNAG, ShimelesBiru&YismawYimamBelachew. Vaginalbirthaftercesarean section and its as sociated factors in Ethiopia: asystematicreviewand meta‑analysis. Scientific Reports. 2023; 13: 7882.
[5]	YeabsiraGirma ZM, AlemnewDestaw,. Vaginal delivery after caesarean section and its associated factors in MizanTepi University Teaching Hospital, Southwest Ethiopia. Heliyon 2021; 7.
[6]	Adikpe E E, James Bitrus, Okeke C. Nnawike, Onyeji John1, SamailaMikah,. Obstetric outcomes of vaginal birth after caesarean section in Bingham University Teaching Hospital, Jos, Nigeria InternationalJournalofReproduction, Contraception, Obstetrics and Gynecology Edugbe AE et al Int J Reprod Contracept Obstet Gynecol. 2023 12(10): 2911-5.
[7]	YiTing Chen Y-CH, Hung Shen, Chin-Ho Cheng, Kuang-Han Lee, Pao-Ling Torng. Vaginal birth after cesarean section: Experience from a regional hospital. Taiwanese Journal of Obstetrics & Gynecology. 2022; 61: 422-6.
[8]	JohnEdwardCSL. Success of Vaginal Birth after Cesare an Section (VBAC) based onPrevious Cesarean Delivery Indication in a Tertiary University Hospital: A Five Year Retrospective Study. Obstetrics and Gynecology Research. 2023; 6: 63-70.
[9]	Dr. IbtihalJumaah ABD Ali DDANaDMNH. Successful vaginal birth after caesarian section and maternal outcome. The Pharma Innovation Journal. 2019; 8(7): 428-33.
[10]	Gebrehiwot. MBaY. Factors associated with success of vaginal birth after one caesare an section (VBAC) at three teaching hospitals in Addis Ababa, Ethiopia: a case control study BMC Pregnancy and Childbirth. 2013; 13: 31.
[11]	Pooja Kiran KPP, Mrityunjay C Metgud, MallayyaKenchaveeraiah Swamy. Prediction of Vagina lBirth after Cesarean Section UsingScoring System at the Time of Admission for Trial of Labor: A One-year Prospective Cohort Study. Journal of South Asian Federation of Obstetrics and Gynaecology. 2020; 12(4).
[12]	Tessmer-Tuck JA E-NS, Racek AR, Lohse CM, Famuyide AO, Wick MJ,. Predicting vaginal birth after cesarean section: a cohort study. GynecolObstet Invest 2014; 77: 121-6.
[13]	Boulvain M. Trial of labor after caesarean section in sub- Saharan Africa: a meta-analysis. BJOG 1997; 104: 1385–91.
[14]	Narjes Noori MG, Alireza Dashipour, Mitra Dastgerdi and GhazalehParnian. Outcome of Vaginal Birth After Cesarean Section (VBAC) Zahedan J Res Med Sci. 2022 24(3).
[15]	Fwazia A RA, Sarah M, Thawab A, Burooj A. A retrospective study about the outcome of vaginal delivery after cesarean section in Madinah, Saudi Arabia. International Journal of Medicine in Developing Countries. 2020; 4(2): 291–5.

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APA Style

Bekele, T. D., Charkos, T. G., Ararsa, H. (2025). Success Rate of Vaginal Birth After Cesarean Section and Associated Factors Among Women Who Gave Birth at Adama Hoapital Medical College. European Journal of Clinical and Biomedical Sciences, 11(2), 16-23. https://doi.org/10.11648/j.ejcbs.20251102.11

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ACS Style

Bekele, T. D.; Charkos, T. G.; Ararsa, H. Success Rate of Vaginal Birth After Cesarean Section and Associated Factors Among Women Who Gave Birth at Adama Hoapital Medical College. Eur. J. Clin. Biomed. Sci. 2025, 11(2), 16-23. doi: 10.11648/j.ejcbs.20251102.11

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AMA Style

Bekele TD, Charkos TG, Ararsa H. Success Rate of Vaginal Birth After Cesarean Section and Associated Factors Among Women Who Gave Birth at Adama Hoapital Medical College. Eur J Clin Biomed Sci. 2025;11(2):16-23. doi: 10.11648/j.ejcbs.20251102.11

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@article{10.11648/j.ejcbs.20251102.11,
  author = {Tayachew Desalegn Bekele and Tesfaye Getachew Charkos and Heran Ararsa},
  title = {Success Rate of Vaginal Birth After Cesarean Section and Associated Factors Among Women Who Gave Birth at Adama Hoapital Medical College
},
  journal = {European Journal of Clinical and Biomedical Sciences},
  volume = {11},
  number = {2},
  pages = {16-23},
  doi = {10.11648/j.ejcbs.20251102.11},
  url = {https://doi.org/10.11648/j.ejcbs.20251102.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejcbs.20251102.11},
  abstract = {Background; Vaginal Birth After cesarean section (VBAC) is considered a viable and safe option for many women who have previously undergone a cesarean section, particularly when the initial cesarean section was performed for a non-recurring indication. Studies indicates that VBAC can lead to lower rates of maternal complications and faster recovery times with success rate of 60-80% compared to elective repeat cesarean deliveries. Objective; to assess success rate of vaginal birth after cesarean section and factors associated with VBAC in woman who gave birth at AHMC in 2024. Method; institutional based cross-sectional study was conducted at AHMC involving 208 mothers who had undergone one previous cesarean section. Data were collected using a structured checklist that was pretested prior to the study. The collected data were entered and cleaned using Epi-data version 3.7 and analyzed with SPSS version 24 to determine frequency distributions, means, and standard deviations. Bivariate and Multivariate logistic regression analyses were performed to evaluate the success rate of vaginal birth after cesarean section and to identify factors associated with VBAC. A 95% confidence interval and 5% level precision were used to determine the presence of associations between and independent variables in the final model. Result; the total number of mothers with one previous cesarean section who were offered trial of labor and included in this study were 208. Out of these 86 (41.3%) with CI (34.59%-48.09%) had successful vaginal birth. Independent variables history of pervious VBAC (AOR=6.306 [1.143-34.802]), rupture of membrane at admission [AOR=5.758 [2.588-12.812] and Low station at admission [AOR=6.807 [2.34-19.796] are highly associated with VBAC. Conclusion; The study concluded that the overall success rate of Vaginal Birth after Cesarean (VBAC) in this research is consistent with findings from earlier studies conducted in Ethiopia. Key factors identified as predictors of VBAC success include a prior history of vaginal delivery following a cesarean section (C/S) scar, low fetal station, and membrane rupture. These elements play a significant role in determining the likelihood of a successful VBAC.
},
 year = {2025}
}

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TY  - JOUR
T1  - Success Rate of Vaginal Birth After Cesarean Section and Associated Factors Among Women Who Gave Birth at Adama Hoapital Medical College

AU  - Tayachew Desalegn Bekele
AU  - Tesfaye Getachew Charkos
AU  - Heran Ararsa
Y1  - 2025/03/21
PY  - 2025
N1  - https://doi.org/10.11648/j.ejcbs.20251102.11
DO  - 10.11648/j.ejcbs.20251102.11
T2  - European Journal of Clinical and Biomedical Sciences
JF  - European Journal of Clinical and Biomedical Sciences
JO  - European Journal of Clinical and Biomedical Sciences
SP  - 16
EP  - 23
PB  - Science Publishing Group
SN  - 2575-5005
UR  - https://doi.org/10.11648/j.ejcbs.20251102.11
AB  - Background; Vaginal Birth After cesarean section (VBAC) is considered a viable and safe option for many women who have previously undergone a cesarean section, particularly when the initial cesarean section was performed for a non-recurring indication. Studies indicates that VBAC can lead to lower rates of maternal complications and faster recovery times with success rate of 60-80% compared to elective repeat cesarean deliveries. Objective; to assess success rate of vaginal birth after cesarean section and factors associated with VBAC in woman who gave birth at AHMC in 2024. Method; institutional based cross-sectional study was conducted at AHMC involving 208 mothers who had undergone one previous cesarean section. Data were collected using a structured checklist that was pretested prior to the study. The collected data were entered and cleaned using Epi-data version 3.7 and analyzed with SPSS version 24 to determine frequency distributions, means, and standard deviations. Bivariate and Multivariate logistic regression analyses were performed to evaluate the success rate of vaginal birth after cesarean section and to identify factors associated with VBAC. A 95% confidence interval and 5% level precision were used to determine the presence of associations between and independent variables in the final model. Result; the total number of mothers with one previous cesarean section who were offered trial of labor and included in this study were 208. Out of these 86 (41.3%) with CI (34.59%-48.09%) had successful vaginal birth. Independent variables history of pervious VBAC (AOR=6.306 [1.143-34.802]), rupture of membrane at admission [AOR=5.758 [2.588-12.812] and Low station at admission [AOR=6.807 [2.34-19.796] are highly associated with VBAC. Conclusion; The study concluded that the overall success rate of Vaginal Birth after Cesarean (VBAC) in this research is consistent with findings from earlier studies conducted in Ethiopia. Key factors identified as predictors of VBAC success include a prior history of vaginal delivery following a cesarean section (C/S) scar, low fetal station, and membrane rupture. These elements play a significant role in determining the likelihood of a successful VBAC.

VL  - 11
IS  - 2
ER  -

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Author Information

Tayachew Desalegn Bekele

Department of Internal Medicine, Adama Hospital Medical College, Adama, Ethiopia

Contact Email

http://orcid.org/0009-0003-0279-1774
Tesfaye Getachew Charkos

School of Public Health, Adama Hospital Medical College, Adama, Ethiopia

Contact Email

http://orcid.org/0000-0002-9553-8385
Heran Ararsa

Department of Obstetrics and Gynecology, Adama Hospital Medical College, Adama, Ethiopia

Contact Email

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Plain Text BibTeX RIS

APA Style

Bekele, T. D., Charkos, T. G., Ararsa, H. (2025). Success Rate of Vaginal Birth After Cesarean Section and Associated Factors Among Women Who Gave Birth at Adama Hoapital Medical College. European Journal of Clinical and Biomedical Sciences, 11(2), 16-23. https://doi.org/10.11648/j.ejcbs.20251102.11

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ACS Style

Bekele, T. D.; Charkos, T. G.; Ararsa, H. Success Rate of Vaginal Birth After Cesarean Section and Associated Factors Among Women Who Gave Birth at Adama Hoapital Medical College. Eur. J. Clin. Biomed. Sci. 2025, 11(2), 16-23. doi: 10.11648/j.ejcbs.20251102.11

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AMA Style

Bekele TD, Charkos TG, Ararsa H. Success Rate of Vaginal Birth After Cesarean Section and Associated Factors Among Women Who Gave Birth at Adama Hoapital Medical College. Eur J Clin Biomed Sci. 2025;11(2):16-23. doi: 10.11648/j.ejcbs.20251102.11

Copy | Download

@article{10.11648/j.ejcbs.20251102.11,
  author = {Tayachew Desalegn Bekele and Tesfaye Getachew Charkos and Heran Ararsa},
  title = {Success Rate of Vaginal Birth After Cesarean Section and Associated Factors Among Women Who Gave Birth at Adama Hoapital Medical College
},
  journal = {European Journal of Clinical and Biomedical Sciences},
  volume = {11},
  number = {2},
  pages = {16-23},
  doi = {10.11648/j.ejcbs.20251102.11},
  url = {https://doi.org/10.11648/j.ejcbs.20251102.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejcbs.20251102.11},
  abstract = {Background; Vaginal Birth After cesarean section (VBAC) is considered a viable and safe option for many women who have previously undergone a cesarean section, particularly when the initial cesarean section was performed for a non-recurring indication. Studies indicates that VBAC can lead to lower rates of maternal complications and faster recovery times with success rate of 60-80% compared to elective repeat cesarean deliveries. Objective; to assess success rate of vaginal birth after cesarean section and factors associated with VBAC in woman who gave birth at AHMC in 2024. Method; institutional based cross-sectional study was conducted at AHMC involving 208 mothers who had undergone one previous cesarean section. Data were collected using a structured checklist that was pretested prior to the study. The collected data were entered and cleaned using Epi-data version 3.7 and analyzed with SPSS version 24 to determine frequency distributions, means, and standard deviations. Bivariate and Multivariate logistic regression analyses were performed to evaluate the success rate of vaginal birth after cesarean section and to identify factors associated with VBAC. A 95% confidence interval and 5% level precision were used to determine the presence of associations between and independent variables in the final model. Result; the total number of mothers with one previous cesarean section who were offered trial of labor and included in this study were 208. Out of these 86 (41.3%) with CI (34.59%-48.09%) had successful vaginal birth. Independent variables history of pervious VBAC (AOR=6.306 [1.143-34.802]), rupture of membrane at admission [AOR=5.758 [2.588-12.812] and Low station at admission [AOR=6.807 [2.34-19.796] are highly associated with VBAC. Conclusion; The study concluded that the overall success rate of Vaginal Birth after Cesarean (VBAC) in this research is consistent with findings from earlier studies conducted in Ethiopia. Key factors identified as predictors of VBAC success include a prior history of vaginal delivery following a cesarean section (C/S) scar, low fetal station, and membrane rupture. These elements play a significant role in determining the likelihood of a successful VBAC.
},
 year = {2025}
}

Copy | Download

TY  - JOUR
T1  - Success Rate of Vaginal Birth After Cesarean Section and Associated Factors Among Women Who Gave Birth at Adama Hoapital Medical College

AU  - Tayachew Desalegn Bekele
AU  - Tesfaye Getachew Charkos
AU  - Heran Ararsa
Y1  - 2025/03/21
PY  - 2025
N1  - https://doi.org/10.11648/j.ejcbs.20251102.11
DO  - 10.11648/j.ejcbs.20251102.11
T2  - European Journal of Clinical and Biomedical Sciences
JF  - European Journal of Clinical and Biomedical Sciences
JO  - European Journal of Clinical and Biomedical Sciences
SP  - 16
EP  - 23
PB  - Science Publishing Group
SN  - 2575-5005
UR  - https://doi.org/10.11648/j.ejcbs.20251102.11
AB  - Background; Vaginal Birth After cesarean section (VBAC) is considered a viable and safe option for many women who have previously undergone a cesarean section, particularly when the initial cesarean section was performed for a non-recurring indication. Studies indicates that VBAC can lead to lower rates of maternal complications and faster recovery times with success rate of 60-80% compared to elective repeat cesarean deliveries. Objective; to assess success rate of vaginal birth after cesarean section and factors associated with VBAC in woman who gave birth at AHMC in 2024. Method; institutional based cross-sectional study was conducted at AHMC involving 208 mothers who had undergone one previous cesarean section. Data were collected using a structured checklist that was pretested prior to the study. The collected data were entered and cleaned using Epi-data version 3.7 and analyzed with SPSS version 24 to determine frequency distributions, means, and standard deviations. Bivariate and Multivariate logistic regression analyses were performed to evaluate the success rate of vaginal birth after cesarean section and to identify factors associated with VBAC. A 95% confidence interval and 5% level precision were used to determine the presence of associations between and independent variables in the final model. Result; the total number of mothers with one previous cesarean section who were offered trial of labor and included in this study were 208. Out of these 86 (41.3%) with CI (34.59%-48.09%) had successful vaginal birth. Independent variables history of pervious VBAC (AOR=6.306 [1.143-34.802]), rupture of membrane at admission [AOR=5.758 [2.588-12.812] and Low station at admission [AOR=6.807 [2.34-19.796] are highly associated with VBAC. Conclusion; The study concluded that the overall success rate of Vaginal Birth after Cesarean (VBAC) in this research is consistent with findings from earlier studies conducted in Ethiopia. Key factors identified as predictors of VBAC success include a prior history of vaginal delivery following a cesarean section (C/S) scar, low fetal station, and membrane rupture. These elements play a significant role in determining the likelihood of a successful VBAC.

VL  - 11
IS  - 2
ER  -

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