Abstract
There is an alarming increase in cesarean delivery in Saudi Arabia. Cesarean Section can expose the mother and her fetus to some serious complications. Vaginal birth after cesarean section is a viable option for reducing cesarean section rates. We are aiming to estimate the prevalence, and outcome of VBAC in King Abdul-Aziz University Hospital (KAAUH) in Jeddah in 2018-2019, as well as determine the relationship between the outcome and age of the mother, gestational age, parity, a trail of labor, and the use of the instrument. A retrospective cohort study was conducted in KAAUH including all pregnant women that had their delivery from the 1st of January 2018 to the 31st of December 2019 in KAAUH with one previous history of cesarean section, this data was collected from medical records, and delivery room logbook, this study has total participants of 355 patients. The successful Vaginal delivery rate was 28.7% (102) while 71.3% (253) failed. No significant correlation between age and the success rate of VBAC. There is a positive association between parity and the outcome of VBAC success. There is a positive association between instrumental delivery and VBAC success. There is a positive correlation between spontaneous delivery and VBAC. The prevalence of Success VBAC in this study's participants was low. VBAC is a viable option in decreasing the cesarean section rate, gynecologist and health care providers in our region should consider further investigating research on the causes of the high cesarean section rate.