FETOMATERNAL OUTCOME OF PREGNANCY WITH PREVIOUS CESAREAN SECTION AT TERTIARY CARE HOSPITAL.

Dr. I. Padmasree, Dr. Rama Kishore A. V

Abstract


OBJECTIVE: The aim of the study is to evaluate the fetomaternal outcome of pregnancy with previous cesarean section.
METHODS: This is a retrospective observational study conducted in the Department of OBGYN, Government General
Hospital, Ananthapuramu from October, 2016 to September, 2017, a period of one year. All the pregnant women who were admitted at term with
previous one cesarean section with written consent for VBAC were included in the study.
RESULTS: Out of total 210 cases, a total of 124 cases (59.05%) were given trial of labor. Out of 124 patients given trial of labour, 50 patients
(40.32%) had successful VBAC. Out of 50 patients who had successful VBAC, 6 patients (12%) had complications like episiotomy haemotoma,
perineal tear and cervical tear. No patients had major complications. In present study, only one baby had APGAR score < 7 at 5 minutes (in
emergency LSCS group) and no baby had APGAR score < 7 at 5 minutes in VBAC group.
CONCLUSION: With an increase in the proportion of patients with a history of previous LSCS, it is essential for health care institutions to have
proper antenatal management protocol in an effort to increase the number of VBACs and bring down the overall cesarean rates. A successful
VBAC is associated with a lower perinatal and maternal morbidity than repeat caesarean delivery.


Keywords


VBAC – Vaginal birth after cesarean, TOLAC – trial of labor after cesarean, previous LSCS, Maternal outcomes, fetal outcomes.

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