Determinants of adverse maternal and perinatal outcomes following delivery among women with previous cesarean section

Neelima Singh Chauhan

Volume : VI, Issue : VIII, August - 2016

Determinants of adverse maternal and perinatal outcomes following delivery among women with previous cesarean section

Neelima Singh Chauhan

Abstract :

Background: The rate of cesarean sections performed worldwide are increasing and this rising trend is seen in both developed as well as developing countries. However in the present scenario, the rise in total number of cesarean delivery is partially attributed to the large proportion of repeat cesarean deliveries due to decline in the frequency of VBAC (vaginal birth after cesarean). Therefore it is imperative to know the various determinants of maternal and perinatal complications. Methods: A hospital based prospective observational study was done in the Department of Obstetrics and Gynecology, Pondicherry Institute of Medical Sciences (PIMS). A total of 103 women at ≥34weeks period of gestation with singleton pregnancy in cephalic presentation and previous one lower segment caesarean section (LSCS) were enrolled in the study. Women who were eligible were given a trial of labor. Results: Eighteen patients delivered vaginally and 85 by cesarean section. Almost one–fourth of the newborns, (n=25, 24.3%) had one or more complications. There were 10 (9.7%) women who had complications. Co–morbidities in the mother and gestational age at delivery were the single most important determinants of complications among mothers and newborns. Conclusions: It is critical to evaluate maternal and neonatal outcome in patients with prior cesarean delivery, as well as their determinants