Frequency of Vaginal Birth after Caesarean Section in Patients with Previous one Cesarean Section

Background: Vaginal delivery after cesarean section is a rapidly gaining significance obstetric choice, providing a reasonable alternative from repeat operation in properly selected patients. Increased global cesarean deliveries have brought forward the importance of assessing regional trends in successful vaginal delivery after cesarean section in low obstetric data registering area like Abbottabad. Objective: To determine the frequency of vaginal birth after caesarean section in patients with previous one cesarean section. Study Design: Cross-sectional descriptive study. Duration and Place of Study: The study was conducted from January 2025 to May 2025 at the Department of Obstetrics and Gynaecology, Ayub Teaching Hospital, Abbottabad. Methodology: A total of 139 women aged 20–40 years, each with one previous cesarean delivery and a singleton pregnancy beyond 36 weeks, were included. Exclusion criteria comprised maternal medical disorders and obstetric complications that could influence labor outcomes. All participants underwent a supervised trial of labor, with outcomes documented as successful or unsuccessful vaginal birth after cesarean section. Results: Successful vaginal birth after cesarean section occurred in 64.70% of patients. Gestational age ≤39 weeks (p = 0.028) and rural residence (p = 0.049) were significantly associated with successful vaginal delivery, whereas maternal age, education, and socioeconomic status were not statistically significant. Conclusion: Vaginal birth after cesarean section is a safe and feasible delivery option for women with one prior cesarean delivery when proper selection and institutional readiness are ensured.