TRIAL OF LABOUR AFTER CAESAREAN DELIVERY AND IT‘S OUTCOME IN TERTIARY CARE HOSPITAL

DR. PRATHIBHA; DR.RAMA LINGAM; DR. VENKATA ANUSHA.P

Volume : VIII, Issue : VI, June - 2019

TRIAL OF LABOUR AFTER CAESAREAN DELIVERY AND IT‘S OUTCOME IN TERTIARY CARE HOSPITAL

Dr. Prathibha, Dr. Rama Lingam, Dr. Venkata Anusha. P

Abstract :

Pregnancy with prior caesarean section is quite prevalent in present day obstetric practice due to liberalisation of primary caesarean with non recurrent indications .”ONCE A CAESAREAN ALWAYS A CAESAREAN” is being practised in many cases , but TOLAC with successful VBAC can save these women from risk of repeat caesarean in selected cases. MATERIALS & METHODS: This observational study was carried out in NRIGH, a tertiary care teaching hospital from January 2016 to May 2018. 111 cases were selected based on inclusion &exclusion criteria such as details of previous caesarean, last child birth interval, present pregnancy characteristics, estimated fetal weight, maternal complications etc… RESULTS: In this study, out of 111 cases,72.1% had successful VBAC & 27.9% had repeat caesarean for failed TOLAC. Most common indication for failed TOLAC is fetal distress (35%). Only one case of scar rupture was seen. CONCLUSION: Substantial reduction in caesarean rate can be achieved safely and efficiently by encouraging TOLAC in women with single previous caesarean