TITLE:
Rationale of the Cross-Sectional Descriptive Study on Factors Associated with Failure of Vaginal Delivery Trial after Cesarean Section in the University Clinics of Kinshasa, DR Congo
AUTHORS:
Muela Andy Mbangama, Nkashama Bienvenu Kazadi, Otem Christian Ndesanzim, Ambis Joëlle Lumaya, Nkongolo Freddy Muamba, Mubalamata Eugène-Patrick Lukusa, Ndombasi Nelda Lemba, Banza Jésual Lotoy, Feruzi Michel Mangala, Sendeke Patrick Mogwo, Mwimba Roger Mbungu
KEYWORDS:
Associated Factors, VBAC Failure, Scarred Uterus
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.13 No.10,
October
10,
2023
ABSTRACT: Background: Delivery in a scarred uterus is nowadays a real problem in Obstetrics
practice, due to the inflation in the number of caesarean sections and the
non-unanimous attitude of Obstetrics’ teams towards uterine scars. The factors
associated with failed vaginal birth attempts after caesarean section (VBAC)
are crucial information that would contribute effectively to deciding on the
most appropriate mode of delivery for the mother and her fetus. Their identification would enable us to detect pregnant
women at high risk of failure to attempt vaginal birth after caesarean section,
and thus contribute to reducing the complications associated with this failure. Objective: We will study the
factors associated with failure to vaginal delivery trial after caesarean
section at the University Clinics of Kinshasa (UCK). Methods: This study will be a cross-sectional descriptive
study with analytical aims. The
minimum sample size will be 239. Our study population will consist of records of pregnant women with unicatricial uterus who underwent attempted
vaginal delivery after caesarean section at UCK from January 2014 to June 2023.
Results will be reported as percentage proportion and mean plus or minus
standard deviation. Comparison of means between groups will be made using
Student’s t-test, and of proportions using Pearson’s Chi-square test. Logistic
regression will be used to generate Odds Ratios to measure the strength of
association between variables. The test will be statistically significant for a
p value 0.05. Data will be collected and processed confidentially and
anonymously. Conclusion: This study will identify the factors associated
with the failure of attempted vaginal delivery after caesarean section in order
to contribute to the reduction of complications related to its failure in our
setting.