Article Published In Vol.8 (March-April-2020)

A Prospective Study on the Maternal and Perinatal Outcomes in Patients with Delivery after previous Cesarean Section

Author : Yadav K and Yadav G

Introduction: Vaginal birth after cesarean section is a method to control the rising rate of cesarean sections. In an appropriate clinical setting and properly selected group of women, VBAC offers distinct advantages over a repeat caesarean section, since the operative risks are completely eliminated and the hospital stay is short.
Aims and objectives: To evaluate the maternal and neonatal outcome in vaginal birth after caesarean section and repeat caesarean section, to analyse the factors affecting and the complications arising out of it.
Material and methods:979 pregnant women with previous caesarean section presenting in antenatal clinic and labour room were recruited in study. A detailed history was taken and mode of delivery decided as per the standard protocol. 343 patients were given trial of labour of which 226 delivered vaginally.
Result: The rate of vaginal birth after caesarean section was 65.89%. Foetal distress and failure to progress were most common indications of repeat caesarean section. Incidence of infectious morbidity and post op complications were significantly more in repeat caesarean section group along with incidence of birth asphyxia and other neonatal complications.
Conclusion: With appropriate selection of patients, successful trial of labour in previous caesarean is associated with better outcome than repeat caesarean section.

Keywords: VBAC, fetal distress, previous cesarean section, TOLAC, APGAR score