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Published on: June 6, 2020
Vaginal birth after cesarean section
Vidyadhar B Bangal1, Purushottam A Giri, Kunaal K Shinde
1Department of Obstetrics and Gynaecology, Rural Medical College and Pravara Rural Hospital of Pravara Institute of Medical Sciences, (Deemed University) Loni, Maharashtra, India.
Background:
The rate of primary cesarean section (CS) is on the rise. More and more women report with a history of a previous CS. A trial of vaginal delivery can save these women from the risk of repeat CS.
Aims:
The study was conducted to assess the safety and success rate of vaginal birth after CS (VBAC) in selected cases of one previous lower segment CS (LSCS).
Materials And Methods:
The prospective observational study was carried out in a tertiary care teaching hospital over a period of two years. One hundred pregnant women with a history of one previous LSCS were enrolled in the study.
Results:
In the present study, 85% cases had a successful VBAC and 15% underwent a repeat emergency LSCS for failed trial of vaginal delivery. Cervical dilatation of more than 3 cm at the time of admission was a significant factor in favor of a successful VBAC. Birth weight of more than 3,000 g was associated with a lower success rate of VBAC. The incidence of scar dehiscence was 2% in the present study. There was no maternal or neonatal mortality.
Conclusion:
Trial of VBAC in selected cases has great importance in the present era of the rising rate of primary CS especially in rural areas.
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