to determine the integrity of scare in all cases of previous cesarean section before VBAC is tried

Abstract

Background: A study carried out on 175 cases of VBAC. Record of all patients was retrieved, variables like age, gravidity, parity, indication of previous cesarean section, co-existing condition in the present admission and outcome of pregnancy, interdelivery, period were tabulated for all patients and whether the patient was in labour or not at the time of admission Result: If scar tenderness is present than trial of labour for VBAC is risky. In our study 95.46% patient having no scar tenderness and 4.53% patient came with scar tenderness. Maximum patient had scar thickness >2 mm (94.96%) remaining patient had scar thickness <2mm (5.06) Conclusion: The incidence of caesarean section as well as VBAC has increased over the years. So, an attempt for VBAC is well justified for the first cesarean pregnancies with non-recurrent indications. Proper selection, appropriate timing and close supervision by a competent staff are the key factors to achieve greater degree of success. [25] This can prevent the postoperative maternal mortality and morbidity.