Volume : IV, Issue : I, January - 2015

Pregnancy Outcome in Women With Previous one Cesarean Section

Dr. Najma K P, Dr. Smitha B Rao

Abstract :

Background : Women with previous cesarean sections constitute a high risk group in obstetrics ,with associated complications. The cesarean section carries 3 fold risk of mortality compared with vaginal deliveries. The study was conducted to determine the mode of deliveries after previous one cesarean section , maternal and fetal complication Objective : To study the outcome of pregnancy in women with previous one cesarean section in relation to mode of delivery and maternal and perinatal complication Material & Methods : A retrospective hospital based study was carried out in the Department of Obstetrics & gynecology of Yenepoya Medical College; a tertiary health care referral centre in Mangalore, Karnataka over a period of 21/2 years from January 2012 to May 2014. Statistical analysis was not used since it is a descriptive study. Results : Out of the 480 pregnant women with history of previous 1 lscs who were subjected to this study,389 (80%) underwent elective LSCS commonest indication being short inter pregnancy interval(58%). 91(20%) underwent trial of labour after cesarean section ,and 57(62.63%) had successful VBAC and 34(37.36%) underwent repeat emergency LSCS .Maternal complication were higher in LSCS group than in those had a successful VBAC(18%vs12%).Neonatal complications were also higher in LSCS group than in those had a successful VBAC(3.54%vs0). Conclusion :With proper case selection, appropriate timing and close supervision trial of labour after prior LSCS is safe and often successful. Adequate inter pregnancy interval could be encouraged with good contraceptive measures

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

DR.NAJMA K P,DR. SMITHA B RAO Pregnancy Outcome in Women With Previous one Cesarean Section International Journal of Scientific Research, Vol : 4, Issue : 1 January 2015

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