Perbandingan Keberhasilan Vaginal Birth After a Cesarean (VBAC) pada Inersia Uteri Hipotonik dengan dan tanpa Pemberian Oksitosin Drip

Abstract

Trial of labor after cesarean section can be a choice on maternity with cesarean history. The successful trial of labor is then called vaginal birth after a cesarean (VBAC). The failure on VBAC is often caused by hypotonic uterine inertia. Oxytocin infusion augmentation is not a contraindication; it is a solution for increasing success on VBAC with requisite continuing observation. The aim of this research was to determine the successful differences of VBAC on hypotonic uterine inertia with and without oxytocin augmentation. This research was an experimental study on randomized clinical trial, using 40 patients with history of cesarean section at Dr. Hasan Sadikin Hospital and two satellite hospitals (Sumedang and Astana Anyar) during March–May 2009 which fulfilled inclusion criteria divided into two groups; the group using oxytocin infusion and the group without oxytocin infusion. The patients’ characteristic, the success on VBAC and the maternal complication also neonatal condition were noted as encode. Chi-square test was used for statistical analysis. There was no statistical significant difference of success between the group used oxytocin infusion (80%) and the group without using oxytocin infusion (60%) with p>0.05 (p=0.168), but using confidence interval 95% showed the successful on VBAC with oxytocin infusion was greater 1.71 (0.72–4.06). The maternity and neonatal complication on two groups did not indicate a significant difference. In conclusion, using oxytocin infusion on hypotonic uterine inertia can increase the success on VBAC

Keywords

• Hypotonic uterine inertia
• oxytocin infusion
• vaginal birth after a cesarean (VBAC)