Neonatal outcome after first cesarean delivery at benghazi governmental hospitals, Libya

Background: Women seeking VBAC may find limited options in hospital. There is increasing trend globally for CS. In Benghazi, little is known about neonatal outcomes among those delivered vaginaly post caesarean section. Objectives: To describe the pattern of neonatal outcomes following a trial of vaginal deliveries after one previous cesarean delivery in Benghazi government owned hospitals and to compare differences in neonatal outcome. Study Design: Retrospective cohort study including all mothers presented or referred for delivery in Benghazi governmental hospitals (Benghazi medical center and Jomhoria hospital) with previous history of cesarean section (para 1). Statistical analysis: Analysis shall include description of study parameters in terms of means or medians with standard deviations and limits or proportions. For comparison purposes, chi- square tests for difference would be calculated for different types of procedures using significant level if P≤ o.o5. Results: Higher proportion of cases aged less than 31 years; their babies had good Apgar score compared to those aged more than 31 years. There is statistically significant difference between Apgar score of cases with normal type of placenta and other types of placentas. There was significant difference between babies with meconium or bloody stain and those without regarding their Apgar score. P= 0.003. A higher proportion (21.4 %) of cases that had meconium or bloody stained amniotic fluid had bad neonatal outcome. This difference was statistically significant. P = 0.00. There was significant statistical difference between abnormal liquor amount and bad neonatal outcome. P= 0.008. There was significant statistical difference between mode of present delivery and Apgar score. P= 0.053. There was significant statistical difference between mode of present delivery and bad neonatal outcome.