en Clinical Medicine Clinical Medicine مقاله پژوهشی Original Research Article <p style="text-align: justify;"><span style="font-size:16px;"><span style="font-family:Times New Roman;"><strong new="" roman="" style="font-family: " times=""><span style="color:#ffffff;"><span style="background-color:#16a085;">Background and Objective:</span></span>&nbsp;</strong><span style="line-height:200%"><span style="line-height:200%">Given the importance of the benefits of natural childbirth and the complications of recurrent cesarean section, we have conducted the present study to determine the maternal and neonatal complications of natural childbirth after cesarean section.</span></span><br> <strong new="" roman="" style="font-family: " times=""><span style="color:#ffffff;"><span style="background-color:#16a085;">Materials and Methods:</span></span>&nbsp;</strong><span style="line-height:200%"><span style="line-height:200%">In this case-control study, the obstetric complications of 84 women who had undergone a previous cesarean delivery referred to Baqiyatallah Hospital in 2018 for vaginal delivery after cesarean section (VBAC) delivery compared with 84 women with a previous vaginal delivery, who intended to give birth vaginally for the second delivery. Demographic, anthropometric, obstetric, and perinatal data of them were collected and registered in a researcher-developed form. Two groups were compared using the t-test and chi-square test.</span></span><br> <strong new="" roman="" style="font-family: " times=""><span style="color:#ffffff;"><span style="background-color:#16a085;">Results:</span></span></strong>&nbsp;<span style="line-height:200%"><span style="line-height:200%">The mean age in VBAC and control group was 30.49&plusmn;6.83 and 32.08&plusmn;7.28 years, respectively (P=0.15). There were not any occurrence of urinary rupture, bladder rupture, stool control disorder, uterine rupture, nephrotic infection, and ICU hospitalization of the mothers in the two groups. Regarding puerperal infection (3.57% in the VBAC group and 4.76% in the control group, P=0.69) and hospitalization of neonates in ICU (9.52% in the VBAC group and 5.95% in the control group, p=0.39), there was no significant difference between the two groups.</span></span><br> <strong new="" roman="" style="font-family: " times=""><span style="color:#ffffff;"><span style="background-color:#16a085;">Conclusion:</span></span>&nbsp;</strong><span style="line-height:200%"><span style="line-height:200%">It seems that the overall incidence of obstetric complications in women attempting vaginal birth after <span style="text-decoration:none">cesarean delivery</span> is low and not higher than those with prior vaginal delivery. Therefore, for the achievement of benefits of natural childbirth for both the mother and the fetus, women with a prior cesarean should be offered VBAC.</span></span></span></span></p> Cesarean section, Vaginal birth after cesarean, Pregnancy Complications 250 254 http://journal.zums.ac.ir/browse.php?a_code=A-10-6234-1&slc_lang=en&sid=1 Zahra Soleimani z.soleimanii2018@gmail.com 5200319475328460076730 5200319475328460076730 Yes Dept. Obstetrics and Gynecology, School of Medicine, Baqiyatallah University of Medical Sciences, Tehran, Iran Afsaneh Laluie 5200319475328460076731 5200319475328460076731 No Dept. Obstetrics and Gynecology, School of Medicine, Baqiyatallah University of Medical Sciences, Tehran, Iran Arman Jenab arman.jenab@yahoo.com 5200319475328460076732 5200319475328460076732 No Student Research Committee, Baqiyatallah University of Medical Sciences, Tehran, Iran Azam Soleimani asoleimanii@gmail.com 5200319475328460076733 5200319475328460076733 No Cardiac Rehabilitation Research Center, Isfahan University of Medical Sciences, Isfahan, Iran