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2015•Journal of Evolution of Medical and Dental SciencesOpen access

A STUDY OF VAGINAL BIRTH AFTER CAESAREAN

Ratana Usham, Helen Kamei, Th. Digel Singh, Yanglem Ajitkumar, N Nabakishore

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Abstract

OBJECTIVE: To evaluate the efficacy and safety of attempted VBAC with a view to decrease the incidence of caesarean section.METHODS: A prospective study is carried out on women with one previous LSCS for a non-recurrent cause attending ANC & labour room of RIMS for 2 years from 1 st Aug 2007 to 31 st July 2009.RESULTS: 100 eligible PCS women agreed to undergo trial of labour.Of these 50 delivered vaginally and the remaining 50 had to undergo emergency repeat caesarean section due to fetal distress, scar tenderness or non-progress of labour resulting in a VBAC rate of 50%.CONCLUSION: A trial of labour in cases of previous caesarean section is the way to reduce the overall caesarean section rate.Physicians need to discuss the risks and benefits of VBAC following trial of labour or elective repeat caesarean section with patients and patients' choices must be considered. KEYWORDS: Previous caesarean section, Trial of labour

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OBJECTIVE: To evaluate the efficacy and safety of attempted VBAC with a view to decrease the incidence of caesarean section.METHODS: A prospective study is carried out on women with one previous LSCS for a non-recurrent cause attending ANC & labour room of RIMS for 2 years from 1 st Aug 2007 to 31 st July 2009.RESULTS: 100 eligible PCS women agreed to undergo trial of labour.Of these 50 delivered vaginally and the remaining 50 had to undergo emergency repeat caesarean section due to fetal distress, scar tenderness or non-progress of labour resulting in a VBAC rate of 50%.CONCLUSION: A trial of labour in cases of previous caesarean section is the way to reduce the overall caesarean section rate.Physicians need to discuss the risks and benefits of VBAC following trial of labour or elective repeat caesarean section with patients and patients' choices must be considered. KEYWORDS: Previous caesarean section, Trial of labour

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OBJECTIVE: To evaluate the efficacy and safety of attempted VBAC with a view to decrease the incidence of caesarean section.METHODS: A prospective study is carried out on women with one previous LSCS for a non-recurrent cause attending ANC & labour room of RIMS for 2 years from 1 st Aug 2007 to 31 st July 2009.RESULTS: 100 eligible PCS women agreed to undergo trial of labour.Of these 50 delivered vaginally and the remaining 50 had to undergo emergency repeat caesarean section due to fetal distress, scar tenderness or non-progress of labour resulting in a VBAC rate of 50%.CONCLUSION: A trial of labour in cases of previous caesarean section is the way to reduce the overall caesarean section rate.Physicians need to discuss the risks and benefits of VBAC following trial of labour or elective repeat caesarean section with patients and patients' choices must be considered. KEYWORDS: Previous caesarean section, Trial of labour

Key concepts: Medicine, Vaginal birth, Obstetrics, Gynecology, Pregnancy, Biology, Genetics

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