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Volume 4 Issue 6 (November - December, 2016)

Original Articles

Assessment of vaginal delivery after C-section delivery- an observational study
Sunita Sanjay Padalkar

Background: Pregnancy is a physiological phenomenon, and its end is associated with pain, fear, anxiety, and even fear of death for mothers. Vaginal birth after caesarean section (VBAC) is the term applied to women who undergo vaginal delivery following caesarean delivery in a prior pregnancy. Hence; the present study was undertaken for assessing vaginal delivery after c-section delivery. Materials & methods: A total of 50 subjects were enrolled in the present study. Only those subjects were included in which positive history of c section was present. Complete demographic details of all the patients were obtained. Complete clinical examination was done. All the deliveries were carried under then hands of skilled and experienced gynecologists. Complications, if any, were recorded separately. All the results were recorded and were analysed by SPSS software. Chi- square test was used for assessment of level of significance. Results: Mode of delivery following trial of vaginal birth after Caesarean section was spontaneous vaginal in 82 percent of the cases, while it was repeat lower segment c section in 8 percent of the cases. Vaginal instrumental delivery occurred in 10 percent of the cases. The overall incidence of vaginal birth complications after C section was 9.76 percent. Postpartum haemorrhage occurred in 2 patients while uterine atony and Febrilis puerperialis occurred in 1 patient each. Conclusion: From the above results, the authors concluded that patients with positive history of previous c section can be safely delivered through vaginal route. Key words: Premature, Rupture, Membrane.

 
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