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Maternal and perinatal outcomes of delivery after previous one or two cesarean section

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Original Article

Author Details : Kshama Vishwakarma, Gunjan Yadav*, Parasuram Waddar

Volume : 7, Issue : 3, Year : 2020

Article Page : 308-314

https://doi.org/10.18231/j.ijogr.2020.067

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Abstract

Introduction: The prevalence of cesarean deliveries is high in many parts of world. Vaginal birth after
cesarean section (VBAC) is a trial of vaginal delivery in selected cases of a previous CS in a well
equipped hospital. It offers distinct advantages over a repeat caesarean section, since the operative risks
are completely eliminated, the hospital stay is much shorter and expenses involved are much less.
Objectives: To study the maternal and perinatal outcomes among women with previous Cesarean section
at a tertiary care centre.
Materials and Methods: This prospective study was carried out over a period of 12 months. 979 pregnant
women with previous caesarean section were recruited in study. A detailed history was taken and mode of
delivery decided as per the standard protocol. 636 patients underwent elective repeat LCSC.343 patients
were given trial of labour out of which 226 delivered vaginally. Maternal and neonatal outcomes were noted
Result: The rate of successful VBAC was 65.89%. Most common indications of repeat caesarean section
were fetal distress and failure to progress. Post op maternal and neonatal complications were significantly
more in repeat caesarean section group. Incidence of infectious morbidity was also higher in repeat cesarean
group than VBAC group.
Conclusion: Fetal morbidity and mortality due to trial of labor is comparable with the women laboring
without a scar, trial of labour may be encouraged. women given trial of labour with careful monitoring and
taken for emergency LSCS on minimal indication is the best answer to management of previous one or two CS.

Keywords: VBAC, TOLAC, Emergency cesarean section, Perinatal morbidity.

How to cite : Vishwakarma K , Yadav G , Waddar P, Maternal and perinatal outcomes of delivery after previous one or two cesarean section. Indian J Obstet Gynecol Res 2020;7(3):308-314

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