TY - JOUR AU - Hiba, Nafeesa AU - Nisar, Salma AU - Mirza, Zainab Abbas AU - Qadeer, Khansa AU - Mumtaz, Sadaf AU - Rana, Munawar Jannat PY - 2022/11/07 Y2 - 2024/03/29 TI - Effect of Short Inter-Pregnancy Interval on the Outcome of Vaginal Birth after Cesarean Section JF - Pakistan Armed Forces Medical Journal JA - PAFMJ VL - 72 IS - 5 SE - Original Articles DO - 10.51253/pafmj.v72i5.8221 UR - https://pafmj.org/PAFMJ/article/view/8221 SP - 1799-1803 AB - <p><strong>Objective:</strong> To determine the effect of short inter-pregnancy interval on the outcome of vaginal birth after cesarean section.</p><p><strong>Study Design:</strong> Comparative cross-sectional study.</p><p><strong> Place and Duration of Study:</strong> Obstetrics and Gynecology Department, Pak Emirates Military Hospital, Rawalpindi Pakistan, from Jan to Oct 2021.</p><p><strong>Methodology:</strong> A total of 400 pregnant females were selected for this study. For every consecutive pregnant woman with a previous cesarean section and short inter-pregnancy interval (&lt;18 months) recruited into the study, a suitable control with inter-pregnancy interval ≥18 months were recruited.</p><p><strong> Results:</strong> Only 107(53.5 %) females with short interpregnancy interval had a successful vaginal birth after cesarean section, whereas 143(71.5 %) females with &gt;18 months’ inter-pregnancy interval had a successful VBAC. In patients with a history of vaginal delivery, the success of vaginal birth after the cesarean section was significantly higher than in those without previous vaginal delivery or VBAC (p=0.005). 231 out of 250(92.4%) pregnant females with spontaneous onset of labour had a successful VBAC compared to those who had induction of labour, 19(7.6%) (p=0.005). Patients who needed augmentation during delivery had a higher rate of undergoing a cesarean section than VBAC (p=0.003). However, no significant difference was observed in the spontaneous onset of labour and the need for induction and augmentation of labour for the inter-pregnancy interval.</p><p><strong>Conclusion:</strong> Our study concluded that with increasing inter-pregnancy interval, the chances of a successful VBAC increase (p=0.001) with fewer reported complications.</p> ER -