A PROSPECTIVE STUDY OF TERM SPONTANEOUS VAGINAL DELIVERY AFTER PREVIOUS ONE LOWER SEGMENT CAESAREAN SECTION IN SMS MEDICAL COLLEGE, JAIPUR

Sharma Anita; Bharadwaj Neelam; Agarwal Shruti; Baror Sangeeta; Meena B.S

Volume : VI, Issue : IV, April - 2017

A PROSPECTIVE STUDY OF TERM SPONTANEOUS VAGINAL DELIVERY AFTER PREVIOUS ONE LOWER SEGMENT CAESAREAN SECTION IN SMS MEDICAL COLLEGE, JAIPUR

Sharma Anita, Bharadwaj Neelam, Agarwal Shruti, Baror Sangeeta, Meena B. S

Abstract :

Aims & Objectives : To assess 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 Department of Obstetrics & Gynaecology, SMS Medical College, Jaipur from March 2015 to October 2016. 120 pregnancy 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 ³3 cm, effacement ³60–70%, vertex position at or below the ischial spine at the deliveries in were significant factor in favouring 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.