Childbirth by Vaginal Delivery in Double Scarred Uterus: Uterine Trial Conducted in the Borgou Department, BeninHounkponou NFM1, Komongui GD2, Salifou K1, Adjalla AMC1, Ahouingnan AY1, Gbèvo SM1, Vodouhe M1, Obossou AAA1*, Sidi Imorou R1, Tonato Bagnan JA1, Aboubakar M1, Perrin RX2
- *Corresponding Author:
- Dr. Awadé Afoukou Achille Obossou
Obstetrician-Gynecologist, Assistant Professor, Faculty of Medicine
03 P.O.BOX 18, University of Parakou, Republic of Benin
Tel: (229) 95 85 32 79/97 06 78 52
E-mail: [email protected]
Received date: May 30, 2017; Accepted date: June 26, 2017; Published date: June 30, 2017
Citation: Hounkponou NFM, Komongui GD, Salifou K, Adjalla AMC, Ahouingnan AY, et al. (2017) Childbirth by Vaginal Delivery in Double Scarred Uterus: Uterine Trial Conducted in the Borgou Department, Benin. Gynecol Obstet (Sunnyvale) 7:441. doi: 10.4172/2161-0932.1000441
Copyright: © 2017 Hounkponou NFM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Objective: To investigate the possibility of vaginal birth after two caesarean deliveries.
Patients and methods: This was a cross-sectional analytical study with prospective data collection, conducted from March 1st to September 30th 2016, in three maternities in reference hospitals in the Borgou department, Republic of Benin.
Results: Of the 162 patients registered, 87 (53.70%) began spontaneous labour and 75 (46.30%) benefited from a C-section before labour began. Of the 87 women who started spontaneous labour, 54 (62.07%) did not meet the requirements for vaginal birth, and benefited from a C-section; one patient (1.15%) gave birth in the course of referral, and 32 (36.78%) went through our trial. Of the 32 patients who went through the trial of scar, 28 (87.50%) delivered successfully; among them were two twin pregnancies. All four unsuccessful trials (12.50%) were due to the occurrence of acute fetal distress. Among the 28 successful cases, 03 (10.71%) developed to a vasculo-renal syndrome in the sequences of immediate layers. We encountered no case of scar dehiscence nor of child nor maternal death.
Conclusion: Vaginal birth in double scarred uterus is possible and can be considered, with minimum damage to the mother and the fetus. Nevertheless, the recruitment of subjects must be rigorous and labour surveillance done in a surgical environment.