Study of Vaginal Delivery Following Cesarean Section
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 1
Abstract
TOLAC (Trial of Labor after cesarean section) is an acceptable individualized option for women without major risk factors and the primary cesarean performed for a non recurring indication. Objective: Aim of the study is to analyze the cases with history of previous cesarean section who delivered vaginally, the factors that influence the successful outcome, perinatal morbidity, mortality and finally maternal morbidity, mortality. Materials and methods: 150 patients with the previous history of one caesarean section were studied. Results: Among the 150 cases, 54 patients delivered vaginally and hence the incidence of vaginal birth after caesarean in the present study is 36%. 72%, who delivered vaginally belonged to the age group 21 – 30. 75.93% of the women were second gravida with history of one previous section. Interval of time between previous caesarean section and the present pregnancy was 1 -2 years. It was also noticed that if a women had one or more full term normal deliveries before or after her last caesarean section, she stands a better chance of vaginal delivery again. Majority of babies weighed between 2.6 – 3 kg.Conclusion: The patients with previous history of one cesarean section with no risk factors and average sized baby could be considered for vaginal delivery and to reduce the rate of unnecessary caesarean section.
Authors and Affiliations
Dr. P. Thilagavathi, Dr. V. Geetha
Keywords
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- EP ID EP588325
- DOI 10.9790/0853-1601020711
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