Evaluation of the Success Rate of Vaginal Delivery and its Related Factors among Women with a History of Infertility in Afzalipour Hospital, Kerman

Background: C-sections are done for various reasons. The history of infertility as one of the reasons for C-section is a controversial issue. The aim of this study was to evaluate the success rate of vaginal delivery and its related factors among pregnant women with an infertility history. Methods: In this cross-sectional study, all women with an infertility history who became pregnant spontaneously, using drugs or assisted reproductive techniques (ART) and were referred to Afzalipour Hospital for delivery during October ۲۰۱۳- October ۲۰۱۴, were selected through census method. Data were collected from patients’ records and, if necessary, obtained by calling the patients. Data were analyzed using SPSS ۱۹, t-test, and chi-square test. Results: All women with infertility history (n=۱۰۲) during the mentioned time frame were included in this study. Most of them were ۲۰-۳۰ years old with primary infertility (۱-۳ years infertility) who became pregnant spontaneously. Among them, ۶۱.۸% had vaginal delivery. Primary infertility, age less than ۳۰ years, spontaneous pregnancy, and duration of infertility less than ۳ years were significantly high in vaginal deliveries. The mean age of women who had C-section was significantly higher than those who had vaginal delivery (P<۰.۰۰۱). Conclusion: In most cases, pregnant women with an infertility history had a successful vaginal delivery and an infertility history was not the only reason for C-section.

Keywords:

Infertility , Vaginal delivery , cesarean