Long vs Short Inter-Delivery Intervals: Investigating the Relationship Between Birth Interval and VBAC

Syihab Armawa Putera¹, Agus Sulistyono^2*, Risa Etika³, Muhammad Ilham Aldika Akbar⁴

Abstract

Vaginal Birth After Cesarean (VBAC) is an alternative method of delivery that provides post-cesarean women with the opportunity to have a normal vaginal delivery and reduce the number of cesarean sections. The American College of Obstetricians and Gynecologists (ACOG) recommends VBAC as an option for women who are at low risk of complications. The success of VBAC is influenced by multiple risk factors, one of the most critical being pre-labor observation and preparation. Among these, inter-delivery intervals (IDI) play a significant role. This research emphasizes the influence of IDI in predicting maternal and fetal outcomes, aiming to evaluate the optimal timing and associated risks. A comprehensive review of the literature was conducted to assess the correlation between IDI and VBAC success rates, focusing on maternal and neonatal outcomes. An optimal IDI for VBAC is 24-59 months, as it correlates with higher success rates and fewer complications. A short IDI (<18-24 months) is associated with an increased risk of complications, including uterine rupture, emergency cesarean delivery, and adverse neonatal outcomes. Conversely, a long IDI (>59 months) is linked to higher maternal complications and lower VBAC success rates. IDI is a major modifiable factor in VBAC planning. Therefore, individualized and personalized assessments for each patient are essential to enhance birth outcomes.

Keywords

VBAC; inter-delivery interval; vaginal birth.

Cite This Article

Putera, S. A., Sulistyono, A., Etika, R., Akbar, M. I. A. (2024). Long vs Short Inter-Delivery Intervals: Investigating the Relationship Between Birth Interval and VBAC. International Journal of Scientific Advances (IJSCIA), Volume 5| Issue 6: Nov-Dec 2024, Pages 1471-1474, URL: https://www.ijscia.com/wp-content/uploads/2024/12/Volume5-Issue6-Nov-Dec-No.754-1471-1474.pdf

Volume 5 | Issue 6: Nov – Dec 2024