In Mullingar's Midlands Regional Hospital, nearly 90% of women with one prior cesarean opted for repeat cesarean, exceeding the national average. The hospital reported only 10.4% of eligible women achieved vaginal birth post-C-section, lower than the national average of 75% success. Doctors indicated that over half the women pre-decided on repeat cesarean at their bookings. This trend raises concerns about increasing maternal complications, especially as global cesarean rates rise, prompting calls for action to improve vaginal birth after cesarean rates.
Of 210 women eligible for vaginal birth after caesarean - which we defined as those with one previous caesarean section and no contraindications for trial of labour - only 10.4% had a vaginal birth.
Failure to improve vaginal birth after caesarean rates will inevitably lead to a continued upward trajectory of repeat caesarean sections, which, in turn is associated with maternal morbidity and even mortality.
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