000			03139cam a2200349 a 4500
003			EG-GiCUC
005			20250223032742.0
008			210530s2021 ua f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aM.Sc
099			_aCai01.17.02.M.Sc.2021.Sa.I
100	0		_aSamar Abdullah Mohamed Rady
245	1	0	_aIncidence and outcome of VBAC among women receiving counseling at Elmanial University Hospital / _cSamar Abdullah Mohamed Rady ; Supervised Yousria Ahmed Elsayed , Gehan Ebrahim , Marwa Fouad Sharaf,
246	1	5	_aنسبة حدوث الولادة الطبيعية ونتائجها بعد الولادة القيصرية بين السيدات اللاتى تلقين المشورة بمستشفى المنيل الجامعى
260			_aCairo : _bSamar Abdullah Mohamed Rady , _c2021
300			_a88 , (20) Leaves ; _c30cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Nursing - Department of Maternal and Newborn Health Nursing
520			_aRepeated cesarean section (CS) is the most significant factor contributing to overall increased CS rates.The primary indicator of repeated CS is a prior CS. Vaginal birth after cesarean (VBAC) is atrial to reduce CS rates. The aim of the study was to examine the effect of counseling on the incidence, maternal & neonatal outcomes of VBAC. Design: Quasi experimental one group post-test only design was adopted for this study. Setting: The study was conducted at antenatal clinic and casualty department at Manial University Hospital affiliated to Cairo University. Sample: A purposive sample of 90 pregnant women who were had a previous one cesarean section. Tools: Structured Interviewing Tool, Labor Progress Record (Partograph) and Neonatal Apgar Score were used to collect the data. Results: (79)87.8% of women agreed to have VBAC after counseling compared to only (11) 12.2 % refused to have VBAC and choose CS.The Trial of Labor after Cesarean section (TOLAC) rate was 40.5%. The rate of VBAC was 31.6%. Success rate of TOLAC was 78.1% while failed TOLAC was 21.9%. All women who delivered VBAC had normal progress of labor and their babies had normal Apgar score (8-10). No cases underwent VBAC had any morbidity or mortality. Conclusion: Successful VBAC is associated with better feto-maternal and neonatal outcomes so most women with one previous cesarean delivery with a low-transverse incision should be counseled and encouraged to undergo a trial of labor in her recurrent pregnancy. Recommendations; Counseling about VBAC should be part of the routine care of all pregnant women who delivered previously by CS and considered a good candidate for VBAC
530			_aIssued also as CD
653		4	_aCesarean section (CS)
653		4	_aCounseling
653		4	_aVaginal birth after cesarean (VBAC)
700	0		_aGehan Ebrahim , _eSupervisor
700	0		_aMarwa fouad Sharaf , _eSupervisor
700	0		_aYousria Ahmed Elsayed , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aShimaa _eCataloger
942			_2ddc _cTH
999			_c81092 _d81092