Title: Maternal and Fetal Outcomes in Previous One Cesarean Pregnancies
Authors: Dr Siddesh Mahadev Iyer, Dr Varsha Ajay Hariani
DOI: http://dx.doi.org/10.18535/jmscr/v4i1.03
A previous caesarean delivery does cast a shadow over the outcome of future pregnancy and labour, main fear being catastrophic uterine rupture. Vaginal birth or trial of labour after previous caesarean delivery has become one of the most remarkable and yet controversial changes in obstetric practice. This is being practiced as one of the strategies to control the alarming rise in rate of caesarean sections. Inspite of uterine rupture being a known complication, the trial of labour or scar (The word, once only used for cephalo-pelvic disproportion cases) of vaginal birth after caesarean (VBAC) is a well established standard practice of care. We studied the incidence incidence of vaginal delivery after one caesarean, incidence of repeat caesarean, its indications, and factors affecting maternal and fetal outcome. Keywords: previous cesarean, vbac, 1. American College of Obstetricians and Gynecologists. ACOG 4. Practice bulletin no. 54. Vaginal birth after previous caesarean delivery. Obstetrics and Gynecology, 2004, 104:203–212 2. Kambo I, Bedi N, Dhillon BS, Saxena NC. A critical appraisal of cesarean section rates at teaching hospitals in India. Int J Gynaecol Obstet. 2002 Nov; 79(2):151-8 3. Singh AK et al 2011. Study of Frequency and Indications of Caesarean Section in a Tertiary Care Hospital of Garhwal-Uttarakhand, India. Jour of Research in Medical Education & Ethics: 2011, Vol: 1(2):122-4 4. Kayani SI, Alfirevic Z: Uterine rupture after induction of labour in women with previous caesarean section. BJOG 2005; 112: 451 5. Nielsen TF, Otterblad Olausson P, Ingemarsson I. The caesarean section rate in Sweden: the end of the rise. Birth 1994;21:1 (March). 6. D.C.Dutta’s Text book of obstetrics. Operative obstetrics. New Central Book Agency (P) Ltd London. 7th edition.2011; Pages: 588-608 7. Dadhwal V et al. vaginal birth after caesarean delivery: variables affection outcome. JK science. Jan-mar 2003.Vol 5 (1):11-14 8. Landon MB, Hauth JC et al. Maternal and Perinatal outcomes associated with trial of labour after previous caesarean delivery. Eng J Med.2004;351:2581.Abstract
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