This maternity hospital has two rooms for cesarean delivery and other surgeries in the surgery ward and seven PPP rooms for vaginal delivery
in the obstetric center.
This study examined the efficacy of tranxamic acid in preventing PPH for vaginal delivery
and cesarean section In it decrease in volume of blood loss, hemoglobin levels, maternal mortality and complication regarding tranexamic acid had been reviewed.
For example, Balachandran et al . reported 96 cases of VBAC, in which 4 patients experienced PPH, 5 cases required operative vaginal delivery
, and 33 cases experienced fetal distress.
The Royal College of Obstetricians and Gynaecologists guideline on operative vaginal delivery
 states that blood-borne viral infections of the mother are no contraindication to operative vaginal delivery
The findings of this study revealed that the use of misoprostol compared to Foley catheter for induction of labor is associated with increased blood loss postpartum, following vaginal delivery
Group 2: Postmenopausal women with a history of vaginal delivery
Theoretical framework: Given the complexity of decision to do cesarean section instead of vaginal delivery
, a single theory cannot fully explain women's intention in this regard.
The following women (n=132) were given trial vaginal delivery
: i) Previous one CS for the non-recurrent indications; ii) Singleton pregnancy; iii) Gestation age more than 37 weeks; iv) History of one CS.
Majority of our patients underwent spontaneous vaginal delivery
. Mode of delivery of all patients is shown in table no II.
While a great majority of the women (87 percent) stated that the ideal mode of delivery was vaginal delivery
the others (13 percent) reported that cesarean delivery was the ideal option.
After the term breech trial reported a significant decrease in perinatal mortality among women who had a planned C-section compared to those opting for elective vaginal delivery
, C-section rates increased dramatically.
Women who had preterm birth, cesarean section after labor begun, assisted vaginal delivery
, extended episiotomy, birth weight more than 4000 gr, infant with any anomalies, any history of systematic disease (e.g., preeclampsia, diabetes mellitus), depression or postpartum depression and sexual dysfunction prior pregnancy were excluded.