1. Vaginal Birth after Cesarean Section.
- Author
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Bangal, Vidyadhar B., Giri, Purushottam A., Shinde, Kunaal K., and Gavhane, Satyajit P.
- Subjects
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VAGINAL birth after cesarean , *SCARS , *DILATATION & curettage , *TEACHING hospitals , *PREGNANT women , *DELIVERY (Obstetrics) - Abstract
Background: The rate of primary cesarean section (CS) is on the rise. More and more women report with a history of a previous CS. A trial of vaginal delivery can save these women from the risk of repeat CS. Aims: The study was conducted to assess the safety and success rate of vaginal birth after CS (VBAC) in selected cases of one previous lower segment CS (LSCS). Materials and Methods: The prospective observational study was carried out in a tertiary care teaching hospital over a period of two years. One hundred pregnant women with a history of one previous LSCS were enrolled in the study. Results: In the present study, 85% cases had a successful VBAC and 15% underwent a repeat emergency LSCS for failed trial of vaginal delivery. Cervical dilatation of more than 3 cm at the time of admission was a significant factor in favor of a successful VBAC. Birth weight of more than 3,000 g was associated with a lower success rate of VBAC. The incidence of scar dehiscence was 2% in the present study. There was no maternal or neonatal mortality. Conclusion: Trial of VBAC in selected cases has great importance in the present era of the rising rate of primary CS especially in rural areas. [ABSTRACT FROM AUTHOR]
- Published
- 2013
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