scholarly journals To study the maternal and perinatal outcome following vaginal birth after caesarean section after one previous lower segment caesarean section

2015 ◽  
pp. 658-663
Author(s):  
Latika Latika ◽  
Gurcharan Kaur ◽  
Sukhbir Singh
Keyword(s):  
Caesarean Section ◽  
Perinatal Outcome ◽  
Vaginal Birth ◽  
Lower Segment ◽  
Lower Segment Caesarean Section ◽  
Vaginal Birth After Caesarean

scholarly journals Safety of vaginal birth after single previous lower segment caesarean: a retrospective analysis of 200 cases

2018 ◽  
Vol 7 (7) ◽  
pp. 2596
Author(s):  
Renu Jain
Keyword(s):  
Caesarean Section ◽  
Retrospective Analysis ◽  
Caesarean Delivery ◽  
Admission Rate ◽  
Active Phase ◽  
Vaginal Birth ◽  
Lower Segment ◽  
Lower Segment Caesarean Section ◽  
Increased Risk ◽  
Vaginal Birth After Caesarean

Background: Vaginal birth after Caesarean delivery (VBAC) has long been proposed as a viable measure to reduce overall Caesarean delivery rates. The objective of present study was to assess predictive factors and to study outcome of pregnancy in women with one previous lower segment caesarean section underwent trial of scar, in author’s hospital setting.Methods: This retrospective analysis of 200 pregnant women with one previous lower segment caesarean section underwent trial of scar, was carried out over a period of one year, in department of Obstetrics and Gynaecology, Gajra Raja Medical College, Gwalior (M.P.). The maternal and neonatal data and data concerning the course of delivery were reviewed and subjected to statistical analysis.Results: The success rate of VBAC was 36%. Young maternal age, gestational age <40 weeks, neonate birth weight 2.5-3 kg, admission in active phase of labor, previous caesarean for malpresentation, meconium stained liquor and fetal distress, were associated with successful VBAC. The commonest indication of repeat caesarean section was non-progress of labor in 34.37% women. Admission rate to neonatal intensive care unit was less in VBAC (2.77%) than in repeat caesarean section group (7.03%). There was one case of uterine rupture. There were 3 perinatal deaths and no maternal deaths.Conclusions: Women with a prior caesarean section are at increased risk of subsequent caesarean. Vaginal birth after caesarean should be encouraged in selected cases to reduce the risks of repeated caesarean sections. However, in the event of a failed trial, there is a definite increase in neonatal and maternal morbidity which is also reflected in our study.

scholarly journals Comparison of Expectant Management Versus Induction of Labour at 40 Weeks on Successful Vaginal Birth Rate in Women with a Previous Caesarean Section: A Randomized Controlled Trial and A Pilot Study.

2021 ◽  
Author(s):  
Rajalakshmi K ◽  
Gowri Dorairajan ◽  
Swetha Kumar ◽  
Palnivel Chinnakali
Keyword(s):  
Caesarean Section ◽  
Birth Rate ◽  
Controlled Trial ◽  
Expectant Management ◽  
Vaginal Birth ◽  
Lower Segment ◽  
Lower Segment Caesarean Section ◽  
Oxytocin Infusion ◽  
Low Risk Women ◽  
Vaginal Birth After Caesarean

Objective: to compare the vaginal birth rate in women with previous one lower segment caesarean section when induced at 40 weeks compared to expectant management till 41 weeks. Design: A randomized controlled trial Setting: Department of Obstetrics and Gynaecology, JIPMER, a tertiary care teaching institution in the south of India. Population or Sample: Low-risk women with previous one single lower segment caesarean section with a singleton foetus in vertex presentation and eligible for a trial of labour (TOLAC) at 40 weeks gestation. Methods: Block randomization to two groups of thirty each. The induction group was induced at 40 weeks with low dose oxytocin infusion or ripening with a single application of a single balloon Foley catheter followed by oxytocin infusion 24 hours later. The expectant group was managed in the hospital with maternal and foetal surveillance and induced at 41 weeks if they had not delivered by then. Main Outcome Measures: Vaginal birth after caesarean section (VBAC). Results: The demography and pregnancy variables were comparable in the two groups. Twenty out of thirty women (66.67%) had a successful vaginal birth after caesarean section in the induction group compared to ten out of 30 (33.33%) in the expectant group. This difference was significant (RR 2.0, 95% CI: 1.13-3.52; P=0.016) Conclusions: Among low-risk women with previous one lower segment caesarean section willing and eligible for TOLAC, the successful VBAC rate is significantly higher among those induced at 40 weeks compared to those managed expectantly till 41 weeks.

scholarly journals Study to evaluate association of umbilical coiling index and perinatal outcome

2017 ◽  
Vol 6 (2) ◽  
pp. 408 ◽  
Author(s):  
Deepika Chholak ◽  
Pratiksha Gupta ◽  
Santosh Khajotia
Keyword(s):  
Caesarean Section ◽  
Apgar Score ◽  
Perinatal Outcome ◽  
P Value ◽  
Lower Segment ◽  
Lower Segment Caesarean Section ◽  
Umbilical Coiling Index ◽  
Meconium Staining ◽  
Umbilical Cords

Background: To correlate the perinatal outcome by noting the umbilical coiling index.Methods: The umbilical cords of the babies born to 500 women, who delivered either vaginally or by lower segment caesarean section, were examined and umbilical coiling index was calculated.Results: There was significant correlation (p value 0.003) between. Hypercoiling (UCI >90th percentile) is associated with IUGR. Hypocoiling (UCI <10th percentile) is associated with: - Meconium staining liquor, high LSCS rates, low Apgar score <7 at 1 min and at 5 min respectively and NICU admissions of babies.Conclusions: Hypercoiling (UCI >90th percentile) is associated with IUGR Hypocoiling (UCI <10th percentile) is associated with meconium staining liquor, high LSCS rates, low Apgar score <7 at 1 min and at 5 min respectively and NICU admissions of babies.

scholarly journals Outcome of Women with Previous Cesaerian Section At A Tertiary Care Hospital in Eastern Nepal

2015 ◽  
Vol 12 (1) ◽  
pp. 18-23
Author(s):  
Ajay Agrawal ◽  
S Chhetri ◽  
A Thakur ◽  
S Agrawal ◽  
P Basnet
Keyword(s):  
Caesarean Section ◽  
Pregnant Women ◽  
Perinatal Outcome ◽  
Caesarean Delivery ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Vaginal Birth ◽  
Care Hospital ◽  
Previous Caesarean Section ◽  
Vaginal Birth After Caesarean

Background: Pregnant women with previous caesarean section are increasing due to the liberal use of caesarean section in first pregnancy due to multifactorial reason. The risks, benefits, and relative safety of vaginal birth after caesarean (VBAC) have been subject of interest for well over 100 years. Thus mutual understanding between the treating obstetrician and patient herself is a core towards achieving good maternal and perinatal outcome considering all the risk and benefit in women with previous caesarean section. Objective: The aim was to analyze the maternal and perinatal outcome in pregnant women with previous caesarean section. Methods: In this prospective observational study, 300 women with singleton pregnancy in cephalic presentation with previous one lower segment caesarean section (LSCS) having inter pregnancy interval ≥ 18 months presenting at ≥ 37-41 week period of gestation admitted for delivery were enrolled and various maternal and perinatal outcome were noted. Results: Caesarean delivery rate during the study period was 26.95%. Eighty percent of eligible women opted for trial of labor. Successful vaginal birth after caesarean section was 29%. Elective repeat caesarean delivery was 19.66%. The rate of failed VBAC was 51%. Failed VBAC increased with increasing weight of baby. There was no difference in mean birth weight among patient who had successful VBAC, who refused VBAC and who had failed VBAC. Mode of delivery had no significant effect on the number of neonatal intensive care unit admission and number of still births.  DOI: http://dx.doi.org/10.3126/hren.v12i1.11980Health Renaissance 2014;12(1):18-23

scholarly journals Maternal and neonatal outcome in pregnancy with previous lower segment caesarean section undergoing trial of scar

2021 ◽  
Vol 10 (9) ◽  
pp. 3434
Author(s):  
Monika Dalal ◽  
Smiti Nanda ◽  
Jagjit S. Dalal ◽  
Samiksha Kaushik ◽  
Meenakshi Chauhan ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Pregnant Women ◽  
Vaginal Delivery ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
P Value ◽  
Lower Segment ◽  
Lower Segment Caesarean Section ◽  
Emergency Caesarean ◽  
Vaginal Birth After Caesarean

Background: Women with previous LSCS often have to make a decision about mode of delivery of their second baby. As the rate of caesarean section is continuously increasing, vaginal birth after caesarean section (VBAC) is a good strategy to decrease caesarean rate. The present study was planned to assess the fetomaternal outcome in pregnancies with previous lower segment caesarean section undergoing trial of scar and to identify the factors, which can influence the outcome of trial of scar.Methods: This was a prospective observational study on 100 patients at a tertiary care institute. Pregnant women with previous LSCS were selected randomly for the study on the basis of the inclusion and exclusion criteria. Each labor monitored closely using a partogram. Decision for repeat emergency caesarean was taken by consultant. All women included in the study were followed through delivery and till discharge.Results: Out of 100 pregnant women 49 % cases had successful VBAC, 50% had emergency caesarean and one patient had laparotomy for rupture uterus. In women, who also had a prior vaginal delivery, 72% delivered vaginally, as compared to 40% of the women who did not undergo prior vaginal delivery (p value=0.003). Women who were in spontaneous labor, 59.21% delivered vaginally, whereas women who were induced, 16.6% delivered vaginally. The rate of perinatal complication was more in the patients who required an emergency CS after a failed trial. Conclusions: Our findings may encourage obstetricians to encourage VBAC in the properly screened ANC patients and decrease the rate of recommending caesarean section.

scholarly journals Posterior Uterine Rupture Causing Fetal Expulsion into the Abdominal Cavity: A Rare Case of Neonatal Survival

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
K. Navaratnam ◽  
P. Ulaganathan ◽  
M. A. Akhtar ◽  
S. D. Sharma ◽  
M. G. Davies
Keyword(s):  
Caesarean Section ◽  
Uterine Rupture ◽  
Abdominal Cavity ◽  
Fetal Outcome ◽  
Emergency Caesarean Section ◽  
Vaginal Birth ◽  
Lower Segment ◽  
Healthy Baby ◽  
Case Presentation ◽  
Vaginal Birth After Caesarean

Introduction. Uterine rupture is a potentially catastrophic complication of vaginal birth after caesarean section. We describe the sixth case of posterior uterine rupture, with intact lower segment scar, and the first neonatal survival after expulsion into the abdominal cavity with posterior rupture.Case Presentation. A multiparous woman underwent prostaglandin induction of labour for postmaturity, after one previous caesarean section. Emergency caesarean section for bradycardia revealed a complete posterior uterine rupture, with fetal and placental expulsion. Upon delivery, the baby required inflation breaths only. The patient required a subtotal hysterectomy but returned home on day 5 postnatally with her healthy baby.Discussion. Vaginal birth after caesarean section constitutes a trial of labour, and the obstetrician must be reactive to labour events. Posterior uterine rupture is extremely rare and may occur without conventional signs. Good maternal and fetal outcome is possible with a prompt, coordinated team response.

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