A Study of the Success of Trial of Labour with Previous Caesarean Section in a Tertiary Care Hospital
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 1
Abstract
Lower Segment Cesarean section is now the most common surgical procedure performed in many developed and developing nations.1 Factors contributing to increased cesarean rate seen today are multiple.1 Higher cesarean rates translate into higher health cost.2 Increasing incidence of primary cesarean sections has led to increase in number of patients with previous 1 lower segment cesarean section. 2Previous lower segment cesarean section (LSCS) predisposes to various complications antenatally, intrapartum, intraoperative and postnatally hence there is a need for intrapartum counselling and institutional delivery. 2 This study was conducted in Goa Medical College from October 2013 to June 2015.All women with pregnancy above 28 weeks of gestation,with a live fetus ,with a history of previous LSCS were enrolled.This study included 1302 pregnant women with history of one or more previous LSCS which fulfilled the inclusional criteria. Out of the 1302 patients, 918 cases (70%) ,including 236 subjects with previous 2 LSCS and 682 subjects with previous 1 LSCS were taken for repeat LSCS without trial of labour (ERCD),384 cases (30%) opted for Trial of Labour (TOLAC), of which 309 (23.7%) achieved successful vaginal delivery. VBAC Success rate was 80.5% (309/384).Percentage of repeat cesarean was 76.26% (993/1302).Previous LSCS should not always be followed by a LSCS. In cases of previous LSCS, delivery should be carried in a well equipped health care center. Complications if any should be diagnosed early thus preventing perinatal and neonatal morbidity.
Authors and Affiliations
DrAkshta Amonkar, Dr Uma Kamat, DrAnkita Joshi, DrPrajakta Katti, DrTaibai Gavde, DrNithisha Kurugundla, DrNisha Naik
Keywords
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- EP ID EP434279
- DOI 10.9790/0853-1801065760.
- Views 70
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