Clinical Research Directory

Inclusion Criteria: * • Age from 20 to 40 years. * Time interval more than 1.5 years from previous caesarean section. * Single viable full-term pregnancy in vertex presentation. * Reactive cardiotocography (CTG) on admission. * Spontaneous labor onset. * Clinically adequate pelvis. * Single fetus * Average AFI fetus Exclusion Criteria: * • Women with previous upper segment cesarean section or hysterotomy scar. * Any obstetric complications such as fetal malpresentation, placenta previa, or medical disorders like diabetes mellitus or preeclampsia. * Presence of any signs and symptoms of scar dehiscence or ruptured uterus, known uterine fibroid or anomaly. * Suspected fetal macrosomia (weight more than 4 kg). * Multifetal pregnancy. * Parturient women who refused the trial of vaginal birth after caesarean section.