Study of Pregnancy Outcome in Full Term Pregnant Women With Previous One Caesarean Section

Indian Journal of Applied Basic Medical Sciences
Year: 2020, Volume: 22(A), Issue. (1)
First page: (282) Last page: (292)
Online ISSN: 2249-7935
Print ISSN: 0975-8917
doi:10.48165/ijabms.2020.22128

Study of Pregnancy Outcome in Full Term Pregnant Women With Previous  One Caesarean Section
Mittal B Bhabhor1, Unnati Pandya2, Hitakshi Kapatel3, Anmol Agrawal4
1Department of Obstetrics and Gynaecology, AMC MET Medical College, Sheth L.G.  Hospital, Ahmedabad 
Corresponding Author email id: unnatipandya.7@gmail.com 

Online Published on 02-Jan-2020

ABSTRACT

INTRODUCTION: Caesarean section is the delivery of the foetus through the abdominal  route by putting an incision on the maternal abdomen and the uterus. The goal of obstetric  is a pregnancy that results in a healthy mother and infant. Most of the art of good obstetric  care involves the delicate balance of avoiding caesarean delivery with its attendant  complications and its application in circumstances where it is necessary for better perinatal  outcome in indicated cases. Results: 72% patients underwent trial of labour after caesarean  section (TOLAC) out of which 46 patients (63.8%) had successful VBAC and 26 patients  (36.2%) underwent repeat emergency LSCS.Conclusion: With proper case selection,  appropriate timing and close supervision of trial of labour, after prior caesarean section  (TOLAC) is safe and often successful in institute having facilities for emergency caesarean  section. A prior vaginal delivery is associated with higher success rate compared to no prior  vaginal birth.

Keywords

VBAC (Vaginal birth after Caesarean section), TOLAC (Trial of labour after  Caesarean section), ERCS (Elective repeat caesarean section), EmCS (Emergency caesarean  section)