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Volume 7 Issue 5 (May, 2019)

Original Articles

A Retrospective study to evaluate Maternal and Fetal Outcome in Vaginal Birth after Caesarian Section
Jagdeep Kaur

ABSTRACT:
Background: The rate of primary cesarean section (CS) is on the rise. More and more women report with a history of a previous CS.  Present study aimed to evaluate the parameters related to maternal and fetal outcome in vaginal birth after Caesarian section. Materials and Method: Retrospective study was conducted on 100 postpartum women who delivered vaginally after previous Caesarian section in tertiary care hospital. Women with one previous LSCS were recruited for the study. In all cases (booked and unbooked), soon after admission, full history and abdominal and vaginal examinations are carried out in order to assess the size of the fetus, position and presentation of the fetus, cervical dilatation, status of the membrane, bishop score, and adequacy of maternal pelvis. Results: Out  of 204 women with previous  Caesarian  section,169  were given trial of labour  (82.84 %). Out of 169 women with previous LSCS who were given trial of labour, 100 women had successful vaginal births. Success rate of Vaginal birth after Caesarian Section was observed to be 59.17 %. Total no. of LSCS for failed trial of labour done in given study period was 69. In current study 1% of cases had uterine rupture. Conclusion: Vaginal Birth after Caesarian is a safe alternative if judicious selection of cases is made. Vaginal Birth after Caesarian should not be attempted in  < 2  yrs of previous Caesarian.

Key words: Caesarian section, Vaginal birth, uterine rupture. 

Received: 18 December  2018                                  Revised: 26 February 2019                            Accepted: 28 February 2019

Corresponding author: Dr. Jagdeep Kaur, Medical officer Gynaecology, Civil Hospital Mukerian, Punjab, India

This article may be cited as: Kaur J. A Retrospective study to evaluate Maternal and Fetal Outcome in Vaginal Birth after Caesarian Section. J Adv Med Dent Scie Res 2019;7(5):102-105.

 
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