Can we reduce repeat caesarean delivery at the Princess Badeea Teaching Hospital in north Jordan?
OBJECTIVE
Our aim was to describe the indications of repeat caesarean delivery and to determine modifiable practice patterns that might lead to fewer repeat caesarean deliveries.


METHODS
Hospital records of all women with previous caesarean sections who delivered between 15 April, 1994-31 December, 1994 at the Princess Badeea Teaching Hospital in North Jordan were reviewed. Three groups were identified: 1) elective repeat caesarean 2) vaginal birth after caesarean 3) failed vaginal birth after caesarean.


RESULTS
In this study there were 388 patients. Of these, 208 had a repeat caesarean delivery for the following reasons: failed vaginal birth after caesarean (39, 10.1%) and repeat elective caesarean section (169, 43.5%). The remaining (180, 46.4%) patients had a vaginal birth after caesarean.


CONCLUSIONS
Our vaginal birth rate after one previous caesarean section was 82.2%. If this rate can be maintained in patients with 2 or 3 previous caesarean deliveries, we can reduce repeat caesarean rates by at least 14% by allowing more patients with 2 or even 3 previous caesarean deliveries to have a trial of labour under appropriate conditions and also proper management of dystocia.
Abu-Heija
A
A
Department of Obstetrics and Gynecology, Jordan University of Science and Technology, Irbid, Jordan.
Zayed
F
F
Francis
L
L
D017604:Cesarean Section, Repeat / Q000706:statistics & numerical data; D005260:Female; D006784:Hospitals, Teaching; D006801:Humans; D007597:Jordan; D011247:Pregnancy; D012189:Retrospective Studies; D016064:Vaginal Birth after Cesarean