A retrospective evaluation of maternal and fetal result in vaginal birth after caesarian section

Abstract

Introduction: It is estimated that 60%-80% of women with c-section history can have vaginal delivery. In these cases, CS possibility should be considered if fetal heart rate decreases or lack of progress in labor. So, VBAC should be performed in equipped hospitals with the supervision of an obstetrician. Materials and Methods: Patients with two or more Caesarian section, Classical Caesarian section, Non Vertex presentation or Twin pregnancy were excluded from study. In all cases (booked and unbooked), soon after admission, full history and abdominal and vaginal examinations are carried out in order to assess the size of the fetus, position and presentation of the fetus, cervical dilatation, status of the membrane, bishop score, and adequacy of maternal pelvis. Results: Out of 224 women with previous Caesarian section,189 were given trial of labour (83.81%). Out of 189 women with previous LSCS who were given trial of labour, 110 women had successful vaginal births. Success rate of Vaginal birth after Caesarian Section was observed to be 59.17%. Conclusion: The findings in this study support the previous studies which showed no significant difference in the maternal and perinatal mortality outcome of Cesarean delivery between women with severe pre-eclampsia who had regional and those that had general anesthesia.