Abstract
Background: A women with previous caesarean birth has two options in her subsequent delivery, either planned elective repeat caesarean or planned vaginal birth. Both the options are associated with risks and benefits.
Aims and Objective: To study the factors associated with vaginal birth after a cesarean delivery (VBAC) and associated fetal and maternal outcome.
Materials and Methods: Two hundred women with previous one lower segment caesarean section (LSCS) were included in the study conducted at Department of Obstetrics and Gynecology, Kamla Raja Hospital, Gajra Raja Medical College, Gwalior from November 2013 to October 2014. All the women were divided in to elective repeat Caesarean section (ERCS) group (women who delivered through caesarean section after trial of labor) and VBAC group (patient who delivered through vaginal route after trial of labor). Both the groups were studied for age, parity, gestation age, indication for previous CS, reason for failed trial and neonatal birth weight.
Results: In VBAC group, most of the patients (48%) belong to age group of 26-30 years, most of them were having gestation age of 37-40 weeks (60%), most common indication for previous CS was malpresentation (40%) followed by fetal distress (30%). Non-progress of labour (48%) was the common cause of failed trial of labour and 86% of the neonates of VBAC group had birth weight of ≤3 kgs. Maternal complications were more in ERCS group compared to VBAC group.
Conclusion: In all women with prior CS, if selected properly on the basis of predictive factors can be successfully tried for VBAC.
Keywords: VBAC, caesarean section, previous CS, maternal complications.
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Corresponding Author
Dr Jyoti Bindal
11, J.A. Hospital Campus, Gwalior (MP)
Email: This email address is being protected from spambots. You need JavaScript enabled to view it., 9826255566
DOI: https://dx.doi.org/10.18535/jmscr/v6i1.39
