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Abstract Objective Evaluation of the practice and short term maternal and perinatal outcomes of TOLAC offered to women at ASUMH during the 3-year period from Jan 2013 to Dec 2015. Study design Retrospective record-based study. Results VBAC rate was 86%. A prior VD, particularly a prior VBAC, and presenting in active labour were significantly associated with a higher rate of success. Lower neonatal birth weight, longer inter-delivery interval and younger maternal age positively influenced the outcome. Hospital-stay was significantly shorter with successful VBAC. Maternal adverse events were more frequent among women who had an unsuccessful TOL, including uterine rupture, blood transfusion and endometritis. Conclusion Assessment of individual risks and the likelihood of VBAC is important in determining who are appropriate candidates for TOLAC. If the prerequisites for TOLAC are not available, ERCS is a safer option for delivery. |