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ISSN 2063-5346
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Zero Complication after VBAC: Effect of a Nursing Rehabilitative Program on Labor Outcomes

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Abeer Moustafa Barakat 1, Ahmed Mohamed Ramy 2, Shaimaa Hassan Mohamady 3, Neama Abd El Fattah Abd El Gawad4
» doi: 10.48047/ecb/2022.12.10.665

Abstract

Vaginal birth after caesarean section (VBAC) is a planned trial to give birth vaginally by a woman who has had a previous caesarean section (CS). VBAC for mothers with one previous CS is an important mechanism for reducing the CS rate. Aim of this study: to evaluate the effect of a nursing rehabilitative program toward vaginal birth after caesarean section on labor outcomes. Research design: Quasi-experimental design Setting: The study conducted in the antenatal clinic at Ain Shams University hospital for Obstetrics & Gynecology. Sample: a purposive sample of 70 mothers were included based on inclusion criteria. Tools: Data collected through 3 tools: 1st tool included socio-demographic data, obstetric history and knowledge assessment sheet, 2nd tool was mothers' practice of rehabilitative measures assessment sheet and 3rd tool assessed labor outcomes and mothers' satisfaction. Results: the present study clarifies a highly significant improvement in the total mothers' knowledge and practice after intervention. Out of 70 studied mothers, 35 (50%) had a trial of labor after CS. 24 mothers (68.5%) had a successful VBAC, which equals the third of all studied mothers. Additionally, all mothers who delivered VBAC had normal maternal and neonatal outcomes without morbidity or mortality. Conclusion: The nursing rehabilitative program had a positive effect on mothers' labor outcomes. Successful VBAC trial is associated with better maternal and neonatal outcomes. Recommendations: nursing rehabilitative program for VBAC should be implemented into maternity hospitals to help and prepare VBAC eligible mothers to have a successful trial.

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