Volume : 8, Issue : 3, March - 2019

TRIAL OF VAGINAL BIRTH AFTER CESAREAN SECTION IN PATIENTS OF PREVIOUS LOWER UTERINE SEGMENT CESAREAN SECTION AND ASSESSMENT OF FETOMATERNAL OUTCOME

Juzar Fidvi, Manjushri. Waikar, Varsha Motwani

Abstract :

Introduction: Vaginal birth after cesarean delivery (VBAC) has been proposed as a viable measure to reduce cesarean delivery rates. Objective: The objective of present study was to assess the safety and success rate of VBAC, to assess the fetal and maternal outcome Method: This prospective study conducted on 200 women at Government Medical College, Nagpur from November2017 to August2018 which included patients with one previous transverse lower segment cesarean section. Results-The success rate of VBAC is 78% and incidence of uterine rupture is 1%. Young maternal age, gestational age<40 weeks, neonatal birth weight<3kg, admission in active phase of labor, previous cesarean for fetal distress, malpresentation were associated with successful VBAC.The commonest indication of repeat cesarean section was also fetal distress followed by failure to progress. There was one neonatal death and maternal mortality. Conclusion-There is definite increase in neonatal and maternal morbidity in patients with failed trial of labor. The trail of scar in patients with previous caesarean section for non-recurrent causes is safe and often successful, and by such practice, we can reduce the rate of caesarean section.