A PROSPECTIVE STUDY OF TERM SPONTANEOUS VAGINAL DELIVERY AFTER PREVIOUS ONE LOWER SEGMENT CAESAREAN SECTION

DR YELURI NAGA SIVA JYOTHI

Volume : IX, Issue : XII, December - 2019

A PROSPECTIVE STUDY OF TERM SPONTANEOUS VAGINAL DELIVERY AFTER PREVIOUS ONE LOWER SEGMENT CAESAREAN SECTION

Dr Yeluri Naga Siva Jyothi

Abstract :

Aims & Objectives the feto – maternal outcome of spontaneous term vaginal birth after a previous one lower segment caesarean delivery and to ﬁnd out the predictors of spontaneous term vaginal birth after a previous one lower segment caesarean delivery. Materials & Methods: A prospective study was conducted in the GOVERNMENT DISTRICT HOSPITAL , VIZIANAGARAM,AP. from March 2018 to October 2019. 120 pregnant women with a history of one previous LSCS were enrolled in the study. Results : In our study, 60% cases had a successful VBAC and 40% underwent a repeat emergency LSCS for failed trial of labour after caesarean section. Anterior position of cervix cervical dilatation 3 cm, eﬀacement 60–70%, vertex position at or below the ischial spine at the time of admission were signiﬁcant factor in favour of a successful VBAC. The incidence of scar dehiscence was 5.83%. There was no maternal or neonatal mortality. Conclusion : TOLAC can be given in selected cases with good monitoring of FHS and progress of labour under supervision of trained staﬀ at a tertiary care hospital.