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All Journal Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management)
Mitsa, Mitsalina Durrah Judaty
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Health Professions Public Health

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ANALISIS FAKTOR KLINIS DAN FAKTOR MATERNAL TERHADAP KEBERHASILAN PERSALINAN PERVAGINAM SETELAH SEKSIO SESAREA (VBAC) DI RSCS KOTA CILEGON Mitsa, Mitsalina Durrah Judaty
Journal of Health Service Management Vol 29 No 00 (2026): Vol 29/Edisi Khusus/Februari/2026
Publisher : Departemen of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpk.v29i00.25755

Abstract

Background: Vaginal Birth After Caesarean Section (VBAC) is a viable alternative to reduce the increasing rate of repeat cesarean sections. However, its success depends on several maternal and clinical factors that need to be identified to ensure maternal and neonatal safety. This study was conducted at a RSCS in Cilegon City, so the results reflect the characteristics of obstetric services at advanced health facilities. Objective: This study aims to analyze maternal and clinical factors determining the success of VBAC in a tertiary healthcare facility. Methods: This was a retrospective analytic study using medical record data of mothers with a history of cesarean section who attempted VBAC from 2023 to 2024. Independent variables included maternal age, parity, body mass index (BMI), interpregnancy interval, history of vaginal delivery, cervical dilatation at admission, and neonatal birth weight. Data were analyzed using chi-square and logistic regression tests to determine predictors of VBAC success. The research sample consisted of 100 maternal respondents, and the data was obtained from one tertiary health service facility in the period 2023–2024. Results: Out of all mothers attempting VBAC, 70% achieved successful vaginal delivery. Significant factors associated with successful VBAC were maternal age < 35 years (p < 0.05), interpregnancy interval ≥ 24 months (p < 0.01), history of previous vaginal delivery (p < 0.01), cervical dilatation ≥ 4 cm (p < 0.05), and neonatal birth weight < 3,500 g (p < 0.05). Conclusions: Maternal and clinical factors particularly maternal age, cervical readiness, and interpregnancy interval play a critical role in determining VBAC success. These findings support the need for careful antenatal selection and intrapartum monitoring to optimize VBAC outcomes.
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