DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20190900

A comparative study of maternal and fetal outcome in trial of labour after caesarean delivery and elective repeat caesarean delivery

Asha Neravi, Namrata Kulkarni, M. Usha Brindhini, V. Udayashree

Abstract


Background: Globally, high rates of caesarean section (CS) are an issue of public health concern. For women who have had a previous caesarean, choices for mode of birth in their next pregnancy are either a trial of vaginal birth after caesarean (TOLAC) or an elective repeat caesarean delivery (ERCD). Both ERCD and TOLAC have benefits and risks associated.

Methods: A prospective comparative study was conducted in the Department of Obstetrics and Gynecology at SDM college of medical science and hospital, Dharwad, Karnataka, India. The study included 80 women with one previous lower segment caesarean section over a period of 1 year. A 40 women underwent TOLAC and 40 women had a repeat caesarean section. The maternal and fetal outcomes in trial of labour after caesarean delivery and repeat caesarean delivery were compared.

Results: In this study maternal morbidity was more common in ERCD group than in the TOLAC group. Neonatal outcome was the same in both the study groups. 

Conclusions: In our study the TOLAC success rate was 70-80%, pregnant woman with one previous lower segment Caesarean section should be given the option of TOLAC, unless contraindicated.

 


Keywords


Elective repeat caesarean delivery (ERCD), Maternal outcome, Neonatal outcome, Trial of vaginal birth after caesarean (TOLAC)

Full Text:

PDF

References


Stone C, Halliday J, Lumley J, Brennecke S. Vaginal births after Caesarean (VBAC): a population study. Paediatr Perinat Epidemiol.2000;14:340-8.

Cowan RK, Kinch RAH, Ellis B, Anderson R. Trial of labor following cesarean delivery. Obstet Gynecol.1994;83:933-6.

Hamilton BE, Martin Ventura SJ. (2009) Births: preliminary data for 2007. Natl Vital Stat Rep.2009;57:1-23.

Landon MB, Hauth JC, Leveno KJ, Spong CY, Leindecker S, Varner MW, et al. Maternal and perinatal outcomes associated with a trial of labor after prior cesarean delivery. New England J Med. 2004;351(25):2581-9.

Edwards MO, Kotecha SJ, Kotecha S. Respiratory distress of the term newborn infant. Paediatr Respir Rev. 2013;14:29-37.

Sabol B, Denman MA, Guise JM. Vaginal birth after cesarean: an effective method to reduce cesarean. Clin Obstet Gynecol. 2015; 58:309-19.

Guise JM, Eden K, Emeis C, Denman MA, Marshall N. (2010) Vaginal birth after cesarean: new insights. Evid Rep Technol Assess.2010;191:1-397.

Royal College of Obstetricians and Gynaecologists. Birth after previous caesarean birth. Green-top guideline. 2007(45).

Birara M, Gebrehiwot Y. Factors associated with success of vaginal birth after one caesarean section (VBAC) at three teaching hospitals in Addis Ababa, Ethiopia: a case control study. BMC Pregnancy Childbirth. 2013;13(1):31.

Mishra N, Taori N, Misri A. Fetomaternal outcome of pregnancy with previous caesarean section. J Evolution Med and Dent Sci. 2014;3(47):11369-78.

Das M, Varma R. Vaginal birth after caesarean section: a practical evidence-based approach. Obstetrics, Gynaecology Reproductive Med. 2012;22(7):177-85.

Cheng YW, Eden KB, Marshall N, Pereira L, Caughey AB, Guise J-M. Delivery After Prior Cesarean: Maternal Morbidity and Mortality. Clinics perinatol.2011;38(2):297-309.

Tripathi JB, Doshi H, Kotdawala PJ. Vaginal birth after one caesarean section: analysis of indicators of success. J Indian Med Assoc.2006;104:113-5.

Vardhan S, Behera RC, Sandhu GS, Singh A, Bandhu HC. Vaginal birth after caesarean delivery. J Obstet Gynecol India. 2006;56:320-3.

Homer C, Besley K, Bell J, Davis D, Adams J, Porteous A et al. Does continuity of care impact decision making in the next birth after a caesarean section (VBAC)? A randomised controlled trial. BMC Pregnancy Childbirth. 2013;13(1):140.

Tulandi T, Agdi M, Zarei A, Miner L, Sikirica V. Adhesion development and morbidity after repeat cesarean delivery. Am J Obstetr Gynecol. 2009;201(1):56.e1-56.e6.

Deline J, Varnes-Epstein L, Dresang L, Gideonsen M, Lynch L, Frey J. Low primary cesarean rate and high VBAC rate with good outcomes in an Amish birthing center. Annals Family Med. 2012;10(6):530-7.

Patel R, Jain L. Delivery After Previous Cesarean: Short-Term Perinatal Outcomes. Seminars Perinatol. 2010;34(4):272-80.

Bais JM, van der Borden DM, Pel M, Bonsel GJ, Eskes M, van der Slikke HJ, et al. Vaginal birth after caesarean section in a population with a low overall caesarean section rate. European J Obstetr Gynecol Reproductive Biol. 2001;96(2):158-62.

Doshi HU, Jain RK, Vazirani AA. Prognostic factors for successful vaginal birth after cesarean section-analysis of 162 cases. J Obstet Gynecol Ind. 2010;60(6):498-502.