Pregnancy Outcome in Women with Previous One Caesarean Section

Women with a history of cesarean sections represent a high-risk obstetric group, raising concerns about maternal and neonatal outcomes. The practice of vaginal birth after cesarean (VBAC) has evolved, requiring further investigation into its impact on pregnancy outcomes. This study aimed to assess pregnancy outcomes in women with a single prior cesarean section, focusing on vaginal delivery rates and maternal complications. A retrospective analysis was conducted at Albatool Teaching Hospital, Iraq, reviewing the medical records of 90 women who delivered between August and December 2022. Among 36 women considered for trial of scar (TOS), 19 (21.1%) achieved successful vaginal delivery, while 17 (18.9%) required repeat cesarean sections. The results showed that women with previous vaginal deliveries, particularly those with a history of successful VBAC, had higher success rates in vaginal delivery. Careful patient selection and vigilant monitoring are essential for improving maternal and neonatal outcomes in this high-risk population. The findings highlight the need for judicious candidate selection for TOS to optimize pregnancy outcomes.