Abstract :
Objective: To study and analyse the vaginal birth with previous caesarean section and its out come.
Methods: A study of 100 cases of post caesarean pregnancies with induction of labour carried out. Trial is given with one previous lower segment caesarean section with no obstetric contraindication and scoring system to predict the success in trail of labour with the inclusion criteria including singleton pregnancy presenting with vertex, with adequate pelvis without any antenatal complications. The exclusion criteria included classical or unknown uterine scar type, past history of uterine rupture, past history of corporeal surgery, severe myopia complicated by retinal detachment, incompatible with safe vaginal delivery and multiple pregnancy.
Results: In our study we found that out of 100 cases, 61% had viganial delivery and 39% underwent caesarean section. Out of 61 cases delivered vaginally, 45 cases had FTND with episiotomy, 07 FTND without episiotomy, 04 FTND with first degree perianal tear, 11 cases were by outlet forceps with episiotomy and 5 cases were delivered by low forceps.
Conclusion: conclude that predicting the score for VBAC and giving trial of labour helps in decreasing the number of repeat caesarean sections in selected cases where there is no contraindication for vaginal delivery. The high probability of success and minimum risk of uterine rupture, favours the use of trial for vaginal delivery in women with previous caesarean section.
Keyword :
Viganal birth with previous Caesarean section