Analysis of success of vaginal birth after cesarean in relation to indication of primary caesarean section: a tertiary care experience

Authors

  • Neha Gupta Department of Obstetrics and Gynecology, Hamdard Institute of Medical Sciences and Research, Jamia Hamdard, New Delhi, India
  • Arpita De Department of Obstetrics and Gynecology, Hamdard Institute of Medical Sciences and Research, Jamia Hamdard, New Delhi, India
  • Nidhi Gupta Department of Obstetrics and Gynecology, Hamdard Institute of Medical Sciences and Research, Jamia Hamdard, New Delhi, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20194871

Keywords:

Caesarean section, Indication, Primary, Success, Trial of labour, Vaginal birth after cesarean

Abstract

Background: Apprehensions related to vaginal birth after caesarean (VBAC) has reduced rates of successful vaginal trials over last decade. The objective of this study was to identify the indications of first caesarean section that can lead to a successful trial of labour in subsequent pregnancy.

Methods: Retrospective cohort study was done between November 2014 and October 2017. Data from the case records was analysed.

Results: Study over 3 years from 2014 to 2017 revealed fetal distress (82.7%),  breech (72.2%), transverse lie (66.7%), antepartum haemorrhage (56.2%) and twins with first non-cephalic (57.9%) have successful outcome of VBAC whereas obstructed labour (19.2%) and failed induction (18.4%) in previous pregnancy have poor outcome for VBAC.

Conclusions: Attempts to allow trial of labour after one previous caesarean section with fetal distress, malpresentation and twins as indications of caesarean in previous pregnancy are safe and should be encouraged.

Author Biography

Arpita De, Department of Obstetrics and Gynecology, Hamdard Institute of Medical Sciences and Research, Jamia Hamdard, New Delhi, India

Assistant Professor, Department of Obstetrics and Gynecology

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Published

2019-10-23

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Original Research Articles