Sara Khan

Communities with legitimate local concerns are targeted by extreme right-wing groups, flashpoint incidents are seized on and disinformation is spread

Background: The rising rates of cesarean sections (CS) globally have increased the number of women with prior cesarean deliveries who may be candidates for vaginal birth after cesarean (VBAC). This study explores the factors influencing the success of VBAC in women with a previous CS and fetomaternal complications associated with VBAC failure.Methods: This cross-sectional study was conducted at the obstetrics unit of Ayub Teaching Hospital, Abbottabad, Pakistan, enrolling 102 eligible women who had previously undergone a CS and were offered the option of attempting a vaginal delivery. Demographic, clinical, and obstetric data were collected on a predesigned proforma. The success of VBAC was defined as a vaginal delivery without the need for an emergency cesarean section. Statistical analysis was done using IBM SPSS Statistics software, version 27.0 (IBM Corp., Armonk, NY).Results: Participants had a mean age of 30.36 ± 2.07 years and a mean body mass index (BMI) of 25.71 ± 0.90 kg/m². The overall VBAC success rate was 79.4% (n=81), with a failure rate of 20.6% (n=21). Maternal complications, including infection and the need for blood transfusion, were significantly higher in the VBAC failure group. Fetal outcomes also showed that VBAC failures were more likely to result in an Appearance, Pulse, Grimace, Activity, and Respiration (APGAR) score <7 at 10 minutes (P=0.006). Similarly, maternal complications were significantly higher in VBAC failures (5/21, 23.8%) than successes (3/81, 3.7%; P=0.009). On regression analysis, VBAC failure was found to be an independent predictor of both fetal complications (with an odds ratio of 14.610 (95% CI: 1.290-165.421, p = 0.030)) and maternal complications (with an odds ratio of 8.767 (95% CI: 1.762-44.535, p = 0.009)).Conclusions: VBAC is a safe and effective option for women with a prior CS, with a high success rate; however, VBAC failure was found to be an independent predictor of both fetal and maternal complications. Our findings suggest the importance of a personalized approach to VBAC assessment and counselling to optimize outcomes for women undergoing trial of labor after cesarean (TOLAC).

Want to understand Palestine's history and the contexts which have set the stage for the current genocide? Learn with Sara as she unpacks the history of Palestinian resistance and exposes the systems of Zionist apartheid and imperial violence behind today's atrocities.

British Jews will never feel safe unless the government works harder to counter growing extremism and threats to social cohesion

The wall disguised as a bridge

Who Do You Think You Are? genealogist Sara Khan shares her expert tips on how to research your family history

In the present study, a chemical library of novel lophine clubbed acylthioureas (8a–l) was designed and synthesized through a multistep sequence. 2-(4-Nitrophenyl)-4,5-diphenyl-1H-imidazole (3) was synthesized from benzil, 4-nitrobenzaldehyde, and ammonium acetate via multicomponent reaction. Then the nitro group o

The 33-year-old, who married singer Falak Shabir in 2020, has welcomed her second daughter.

Authors Gul Mehar Javaid Bukhari Abel Jacobus Pienaar Gideon Victor Sara Khan DOI: Keywords:

We must all work with the new PM to repair our social contract and confront the forces seeking to divide us.