Pregnancy and Childbirth
Conditions
Interventions
Sponsors
OKOYE SAMUEL CHIDIEBERE
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: The pregnant women that will be recruited for this study must be booked with uncomplicated pregnancy. The participants must be a multiparous pregnant woman with one previous transverse lower uterine segment caesarean section. They will be within the age of 18-44 years. The women should be at full term pregnancy (from 39 weeks to 40 weeks plus 6 days of gestation). They must be fit for vaginal delivery after one caesarean section. Participants should be women with a normal size single fetus (2.5kg -3.5kg at 36 weeks GA) in cephalic presentation and longitudinal lie with no contraindication to vaginal delivery. The fetal membrane should be intact and the woman must not be in labour. They should present within the study period of six months. Participants should be motivated and must give a written informed consent to participate in the study.
Exclusion criteria
Exclusion criteria: This study will exclude pregnant women with unsure date and with no early ultrasound dating. Pregnant women with preterm labour, post-term pregnancy, fetal anomalies and intrauterine fetal death will be excluded. Participants that are primipara and grand-multipara with one previous caesarean section will be excluded. Any woman with classical caesarean section, two or more caesarean section, previous uterine rupture or any other previous uterine surgery like myomectomy, polypectomy, cervical cerclage etc will be excluded. Also excluded are participants with contraindication to vaginal delivery and Participants that are not fit for vaginal birth after caesarean section. All pregnancies with antepartum haemorrhage like placenta previa, abruptio placentae, vasa previa and unexplained vaginal bleeding will be excluded. Participants with medical conditions like diabetes mellitus, hypertensive disorders, sickle cell disease, renal disease, human immunodeficiency virus etc will be excluded. The obese women and women with significant fibroid will be excluded from study. Women with un-accessible cervix or close cervix will be excluded. Those that withhold consent will be excluded from the study. Those already scheduled or booked for elective vaginal delivery or caesarean section will be excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome is the number of participants that will have prolonged pregnancy (pregnancy that exceeds 41 weeks plus 3 days). | — |
Secondary
| Measure | Time frame |
|---|---|
| The number of participants that will have spontaneous onset of labour The number of participants that will have successful VBAC The number of participants who will have repeat caesarean section. The Apgar score of the neonate at delivery. | — |
Countries
Nigeria
Contacts
Public ContactUmeononihu Samuel Osita
Consultant
Outcome results
None listed