TITLE:
Profile of Pregnant Women and Success of the Uterine Test on a Uni- or Bi-Scar Uterus at the Maternity Ward of Panzi Hospital, in the Democratic Republic of the Congo
AUTHORS:
Prosperine Kongwa Madoli, Olivier Nyakio, Raha Maroyi, Éloge Ilunga-Mbaya, Gloire Mwenze, Julien Bwama Botalatala, Omari Mukanga, Dieudonné Sengeyi Mushengezi Amani
KEYWORDS:
One Previous Caesarean, Panzi General Referral Hospital, Trial of Labor after Cesarean Section, Two Previous Caesarean, Vaginal Birth after Cesarean Sec-tion
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.13 No.7,
July
18,
2023
ABSTRACT: Introduction: Trial of labor after a previous cesarean section
(TOLAC) is a method that requires strict monitoring to decrease the cesarean
section (CS) rate and improve the maternal and neonatal prognosis. The
objective is to determine the profile and outcome of patients with one and two
previous CSs who performed TOLAC at Panzi General Referral Hospital. Methodology:
This is a cross-sectional study with a prospective collection of data of 111
patients with one and two previous CSs at Panzi Hospital from January 2021 to
August 2022. Statistical Package for the Social Sciences SPSS version 23
software was used to analyze the collected data. The percentages of categorical
variables were summarized in a frequency table. The mean or median with standard deviation was used to summarize quantitative
variables. Results: The overall success rate of the TOLAC was 64%, with
63.8% following one previous CS and 64.3% following two CSs. The mean age of the patients
was 27.09 years, with an age range of 25 - 34 years. They were mostly
pauciparous (52.2%), married (88.3%), with a
high school education (60.4%). The inter-delivery interval > 18
months was noted (64.1%) and overweight in 63.9%. More than three antenatal
consultations were performed (58.6%). We found a mean gestational age of 38 (34
- 41) weeks. The perinatal mortality rate was 0.9%. However, we did not record
any cases of maternal mortality during the study period. Conclusion:
TOLAC after one and two previous CS is implemented in the maternity Unit of
Panzi Hospital for well-selected patients. In addition, the success rate is
similar after TOLAC with an acceptable maternal-neonatal prognosis.