Table 1 Summary of studies included in the meta-analysis of predictors of successful vaginal birth after a cesarean section in Ethiopia, 2022
Author | Year | Region | Study area | Study design | Sample size | Quality | Determinants of successful vaginal birth after cesarean |
|---|---|---|---|---|---|---|---|
Eyaya Misgan et al. [39] | 2020 | Addis Ababa | Addis Ababa | Cross-sectional | 268 | 8 | ▪ Prior successful VBAC (OR 16.74; 95% CI 3.99–70.19) ▪ Women who had spontaneous ruptured membranes at admission (OR 2.67; 95% CI 1.28–5.57) |
Birara and Gebrehiwot [40] | 2013 | Addis Ababa | Addis Ababa | Case–control | 204 | 9 | ▪ No History of stillbirth (AOR: 2.54; 95% CI: 1.03,6.27) ▪ Prior successful VBAC (AOR: 3.40; 95% CI: 1.12, 9.48) ▪ Cervical dilatation at admission > 3 cm (AOR: 6.63; 95% CI: 3.36,13.01) |
Mekonnin FT and Bulto. T [35] | 2021 | Oromia | Ambo town | Case–control | 296 | 9 | ▪ Age less than 25 years (AOR: 8.88; 95% CI: 3.03, 26.03) ▪ History of previous successful VBAC (AOR: 3.01; 95% CI: 1.47, 6.13) ▪ History of previous spontaneous vaginal delivery (AOR: 3.85; 95% CI: 1.84, 8.05) ▪ Cervical dilation ≥ 4 cm at admission (AOR: 2.05: 95% CI: 1.14, 3.67) |
Girma HT et al. [34] | 2021 | Oromia | Asella Referral Hospital | Case–control | 288 | 7 | ▪ Rural residents (AOR: 2.419, 95% CI: 1.356, 4.316) ▪ History of any prior vaginal delivery (AOR: 3.723, 95% CI: 1.911, 7.254) ▪ Status of the membrane at admission (AOR: 2.349, 95% CI:1.287- 4.287) ▪ Prior successful vaginal birth after cesarean section (AOR: 15.471, 95%CI: 1.878–127.444) |
Siraneh et al. [37] | 2018 | SNNPR | Gurage Zone | Cross-sectional | 169 | 7 | â–ª Passage of liquor at admission (AOR: 0.25, 95% CI: 0.084,0.733) â–ª History of vaginal birth after cesarean (AOR: 1.88, 95% CI: 0.084, 0.733) â–ª Cervical dilation at admission (AOR: 8.171, 95% CI: 3.303, 34.473) â–ª Type of indication for previous cesarean section (AOR: 0.703, 95% CI: 0.014, 0.364) |
Girma Y et al. [38] | 2021 | SNNPR | Mizan-Tepi University | Cros sectional | 419 | 8 | â–ª Prior successful vaginal birth after cesarean section (AOR; 2, 95% CI: 1.18, 3.70) â–ª Previous successful spontaneous vaginal delivery (AOR; 4, 95% CI: 2.05, 7.83) â–ª Cervical dilatation at admission (AOR; 2.7, 95% CI: 1.47, 4.95) â–ª Duration of labor (AOR; 1.7, 95% CI: 1.07, 2.83) |
Tefera M et al. [41] | 2021 | Harari and Dire Dawa | Eastern Ethiopia | Case–control | 220 | 8 | ▪ Rural residents (AOR: 2.28; 95% CI: 1.85, 12.41) ▪ History of stillbirth (AOR: 0.07; 95% CI: 0.02, 0.53) ▪ Having ANC (AOR: 3.20; 95% CI: 1.15, 8.87) ▪ cervical dilatation of 6–8 cm at admission (AOR: 7.88; 95% CI: 2.17, 28.55) ▪ Following the women with partograph (AOR: 4.26; 95% CI: 1.90, 9.57) |
Dereje L et al. [36] | 2022 | Oromia | East Wollega | Case–control | 236 | 9 | ▪ Rural (AOR: 3.0, 95% CI: 1.25, 7.21) ▪ No history of stillbirth (AOR: 4.19, 95% CI: 1.20, 14.62) ▪ Prior VBAC (AOR: 2.4, 95% CI: 1.2, 6.4) ▪ Birth interval (AOR: 8.96, 95% CI: 3.25: 24.67) |