Factors associated with successful vaginal birth after cesarean section and outcomes in rural area of Anatolia

Figures & data

Table 1 Indication for intrapartum cesarean

Indication	CS (n=57)
	n (%)
Fetal distress	9 (15.8)
Patient’s request	13 (22.8)
Obstructed labor	21 (36.8)
Malpresentation	10 (17.5)
Uterine rupture	4 (7.0)

Abbreviation: CS, cesarean section.

Table 2 Multi-logistic regression analysis

	Vaginal delivery (n=70)	Cesarean section (n=57)	P-value	OR	95% confidence interval
Cervical opening (cm)
Min-max (median)	4–10 (9)	4–10 (5)	0.001a,*	2.056	1.62–259
Mean ± SD	8.31±2.05	5.40±1.47
Effacement (%)
Min-max (median)	50–100 (100)	50–100 (60)	0.001a,*	1.106	1.06–1.14
Mean ± SD	87.14±17.54	62.45±9.50
Age (years)
Min-max (median)	20–46 (30)	19–48 (31)	0.445b	n/a	n/a
Mean ± SD	29.97±5.16	30.74±6.10
Gravidity
Min-max (median)	2–9 (5)	2–13 (3)	0.001a,*	1.313	1.080–1.596
Mean ± SD	4.83±1.86	3.81±2.14
Parity
Min-max (median)	1–8 (3)	1–7 (2)	0.001a,*	1.484	1.178–1.869
Mean ± SD	3.53±1.74	2.44±1.59
Gestational age (weeks)
Min-max (median)	27–43 (40)	34–40 (40)	0.595b	n/a	n/a
Mean ± SD	39.23±2.23	39.04±1.77
Birth weight (g)
Min-max (median)	1,400–4,700 (3,300)	1,750–4,300 (3,300)	0.489b	n/a	n/a
Mean ± SD	3,284.29±544.91	3,214.74±580.78
Prior vaginal delivery
Yes	62 (88.6%)	37 (64.9%)	0.003c,*	4.189	1.677–10.464
No	8 (11.4%)	20 (35.1%)

Notes:

a Mann–Whitney U-test;

b Student’s t-test;

c Yates’ continuity correction test.

* P<0.01.

Abbreviations: min, minimum; max, maximum; n/a, not assessed; OR, odds ratio; SD, standard deviation.

Table 3 Comparison of transfusion, neonatal and maternal complications, and change in hemoglobin level

	Vaginal delivery (n=70)	Cesarean section (n=57)	P-value
Transfusion
Absent, n (%)	61 (87.1)	52 (91.2)	0.655a
Present, n (%)	9 (12.9)	5 (8.8)
Maternal complications
Absent, n (%)	51 (72.9)	55 (96.5)	0.001a,*
Present, n (%)	19 (27.1)	2 (3.5)
Neonatal complications
Absent, n (%)	65 (92.9)	54 (94.7)	0.730b
Present, n (%)	5 (7.1)	3 (5.3)
Predelivery HGB, mean ± SD	11.79±1.60	11.90±1.39	0.683c
Postpartum HGB, mean ± SD	10.21±1.63	10.43±1.37	0.414c
P-valued	0.001*	0.001*
Predelivery-postpartum change, mean ± SD (median)	1.58±1.46 (1.2)	1.47±0.76 (1.5)	0.308e

Notes:

a Yates’ continuity correction test;

b Fisher’s exact test;

c Student’s t-test;

d paired samples test;

e Mann–Whitney U-test;

* P<0.01.

Abbreviations: HGB, hemoglobin; SD, standard deviation.