Trial of Labour after Caesarean Delivery and its Outcome in a Teaching Hospital
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 5
Abstract
Introduction: There are rising trend of labour after caesarian birth and have become an accepted practice. So This study was performed to determine the incidence, predictive factors and outcome of trial of labour in post caesarean section pregnancy, so that a definitive protocol can be formulated for selection of the patients who can be given a trial after caesarean section. Material and methods: This retrospective study was carried out in the Dept. of OBGY at MGMH, Petlaburj, Hyderabad from January 2016 to August 2016. Patients were included based on inclusion and exclusion criteria. Case selection was also confirmed whether patient selected matches the TOLAC guidelines. Special attention was paid to the details of the previous caesarean section such as indication, complications encountered during and after delivery, whether delivery was preterm or full term, whether done in labor or electively planned and whether baby was live born/still born and baby weight. Results: During this period total number of deliveries were 14,069. 194 (4.5%) cases were selected for TOLAC Successful VBAC were-132(68.04%) and AMP; failed TOLAC were 62 (31.98%) for which repeat caesarean section was done. Conclusion: Substantial reduction in the caesarean section rate was achieved safely and efficiently by encouraging the TOLAC in women with single previous C-section.
Authors and Affiliations
Ananthalakshmi Paga, D. Amitha Kumari
Keywords
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