Title: Study of Outcome of Subsequent Pregnancy following previous Caesarean Section in Katihar Medical College & Hospital, Katihar
Authors: Kumari Khushboo, Atul Chandra Medhi
DOI: https://dx.doi.org/10.18535/jmscr/v5i8.206
Abstract
Objectives: Our study was to evaluate the mode of delivery, operative difficulties of post caesarean section pregnancy, Frequency of postpartum complication, foetal and maternal morbidity and mortality in post caesarean section pregnancy, and Indication of subsequent caesarean section, Clinical condition of previous caesarean section scar and placenta and evaluate the foetal outcome between abdominal and vaginal deliveries.
Methodology: A total of 150 women cases with age group ≥20 years to 40 years of post caesarean section were included in this study. A detail relevant history, assessment, investigation were taken to all cases of post caesarean section. Elective caesarean section was done in cases where there was contraindication of allowing labour and vaginal delivery. Condition of baby was assessed by apgar score at 1 min. and 5 minutes. Special emphasis was given on the weight of the baby in respect to the mode of delivery and complication occurring during labour and delivery. During the first 7 days the baby was observed closely for well being.
Results: Data was analyzed by using simple statistical methods with the help of MS-Office software.
Conclusions: VBAC was better chance for successful in pregnancy. Recurrent and non recurrent cause of primary caesarean section changes the outcome. Due to lesser number of maternal and perinatal mortality, vaginal deliveries have a much safer outcome than repeat sections. The major cause of perinatal mortality in repeat caesarean was prematurity. To avoid this cause of perinatal mortality, we can wait for each and every patient having previous caesarean section for spontaneous labour keeping everything ready for caesarean section.
Keywords: post caesarean section, vaginal delivery, outcomes.
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