Successful experience of spontaneous labor after a single cesarean section

Abstract Introduction The birth plan for pregnant women with a history of cesarean delivery is controversial nowadays, as many pregnant women want to repeat cesarean delivery instead of vaginal delivery, and fears of complications make some obstetricians avoid vaginal delivery. Methods A cross-sectional study was conducted at Al-Zahrawi Hospital in Damascus, during the period 20/12/2023 to 10/7/2024. The patients' files at the hospital were studied, and their number was 306 patients after applying the inclusion and exclusion criteria. Results The data of 306 pregnant women were studied, where 264 of them underwent a trial of labor and 42 underwent an elective cesarean section. The success rate of the trial of labor was (82.2%), compared to the failure rate of the trial of labor (17.8%). The majority of pregnant women in both groups had a body mass index of 25–29 kg/m2. Failure to complete vaginal delivery accounted for 61.7% of previous cesarean section indications in the group with current failed labor versus 34.6% in the group with successful labor. In the group with current failed labor, previous cesarean section indications such as elderly or high-risk pregnancy were higher than in the group with successful labor. Conclusion In this study, we found that the success rate of labor was 82.2%, with good cesarean scar in 64.5%.