Title: Study of Vaginal Birth after Caesarean Section
Authors: Dr Kapil Slong Mynso, Dr Th Nonibala Devi, Dr L Ranjit Singh
DOI: http://dx.doi.org/10.18535/jmscr/v4i7.44
Objective: To determine the success rate and safety of vaginal delivery after previous one caesarean section (VBAC) Methods: The Cross sectional study was done in 100 cases of G2P1+0+0+1 with previous one caesarean section for trial of labour to determine the success rate and safety of vaginal delivery after previous one caesarean section (VBAC) in the Department of Obstetrics and Gynaecology, Regional Institute of Medical Sciences, Imphal. Data for the purpose of my study was collected over a period of 18 months i.e. from November 2013 to April 2015. Data analysis was checked for consistency and accuracy using IBM SPSS ver. 16and were described using means and percentages. Results: During the study period, only 100 numbers of cases were eligible to undergo trial of labour. Of these 20 patients opted out from the study, 61 patients delivered vaginally and remaining 19 cases had failed trial of labour and had to undergo repeat caesarean section (CS). Out of total 19(23.8%) cases that underwent caesarean section, maximum study cases presented with scar tenderness 10(52.7%). followed by foetal distress in 6(31.6%) cases. VBAC success rate at our institution during our study period was 76.2% which is in tandem with other studies from different author’s/scholars. Keywords: Trial of labour, uterine rupture, vaginal birth after caesarean section trial of labor elective repeat caesarean section uterine rupture 1. ACOG Practice Bulletin: Vaginal birth after previous caesarean Delivery. Cl Int J Gynecol Obstet 2004;54(2):197–204. 2. Ugwumadu A. Does the maxim “once a caesarean, always a caesarean” still hold true? PLoS Med 2005;2(9):3053. 3. ACOG Practice Bulletin, Vaginal Birth after Previous Caesarean Delivery. J Obstet Gynecol 2010;115(1):6-7. 4. Birara M and 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. 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