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Analysis Study Research Paper | Obstetrics and Gynecology | India | Volume 12 Issue 9, September 2023 | Popularity: 5.3 / 10

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Clinical Assessment and Pregnancy Outcome in Women with Vaginal Birth after Caesarean Section and to Evaluate the Factors for Successful Outcome in Vaginal Birth after Caesarean Section: A Cross Sectional Observational Study in a Tertiary Care Hospital of Assam

Dr. Nibedita Chakraborty, Dr. Paresh Shyam

Abstract: Background: The rate of primary caesarean section is on the rise. More and more women report with a history of a previous caesarean section. A trial of vaginal delivery can save these women from the risk of repeat caesarean section. The present study aims to assess the factors for successful outcome in vaginal birth after caesarean section. Methods: A total of 78 cases with a previous history of Caesarean section were included in the study. Parameters assessed were maternal age, maternal body mass index, baby?s weight, history of prior vaginal delivery, indications for caesarean section and complications. Results: Significant associations were found between successful vaginal birth after caesarean section and younger maternal age, lower maternal BMI, normal weight of new-born and experience of prior vaginal delivery. The present study has found that, among the women who underwent caesarean section, 55.0% had intact scar, 15.0% had scar rupture and 30.0% had impending scar rupture. Among these women, majority had the indication of impending scar rupture while others had meconeum stained liquor, scar rupture, foetal distress and prolonged labour. Conclusion: The present study has found certain factors such as maternal age, maternal BMI, baby?s weight and prior vaginal delivery which are significantly associated with successful outcome in vaginal birth.

Keywords: Caesarean section, VBAC, trail of labour, scar rupture, foetal distress

Edition: Volume 12 Issue 9, September 2023

Pages: 1840 - 1845

DOI: https://www.doi.org/10.21275/MR23921195800

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