TRIAL OF LABOUR AFTER PREVIOUS ONE LOWER SEGMENT CAESAREAN SECTION IN SMS MEDICAL COLLEGE, JAIPUR

Sharma Anita; Rajoria Lata; Bharadwaj Neelam; Agrawal Pawan

Volume : VIII, Issue : VI, June - 2019

TRIAL OF LABOUR AFTER PREVIOUS ONE LOWER SEGMENT CAESAREAN SECTION IN SMS MEDICAL COLLEGE, JAIPUR

Sharma Anita, Rajoria Lata, Bharadwaj Neelam, Agrawal Pawan

Abstract :

Aims & Objectives : To assess the feto–maternal outcome 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 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. 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.