Study of factors responsible for successful vaginal births after caesarean section at DMCH
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 6
Abstract
Objective: To analyze the success rate of VBAC (Vaginal birth after cesarean section) with reference to various factors and derive simple and easily usable prognostic factors to predict successful VBAC. Methods Study Design: In this retrospective observational 324 women who had undergone successful trial of labor were analyzed to study the factors which contributed to successful trial of labor over a study period of 1 year. Maternal age, prior antenatal visits, prior obstetric history, neonatal weight and interconceptional period were studied with reference to outcome of VBAC. Success of VBAC when compared with prior indication for CS was studied. The role of instrumental deliveries for VBAC was analyzed. Maternal and perinatal mortality and morbidity were assessed. Chi square test was used to analyze the significance of each factor. Results: Success rate of VBAC was 75%. Maternal age, prior antenatal care, prior vaginal delivery, neonatal weight and interconceptional period were all statistically significant predictors (P<0.001) of successful VBAC. Instrumental deliveries were helpful in successful VBAC and can be used prophylactically to cut short second stage. Conclusion: VBAC can be successfully tried in all women with prior cesarean section by careful selection and employing simple predictive factors.
Authors and Affiliations
Arunanchal Jha, Sudha Bharti
Keywords
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