FETO MATERNAL OUTCOME OF VAGINAL BIRTH AFTER CAESAREAN SECTION

Backgrounds: A heightened awareness must be present amongs the obstetrician while taking the decision to perform the rst caesarean section, as it decides the future obstetrics career of the women. Because of the rise in caesarean section rate in recent decades, the question of how to manage the subsequent deliveries become important. Vaginal birth after caesarean section has long been proposed as an alternative measure to reduce repeat caesarean section rate. Our present study to evaluate the fetomaternal outcome of vaginal birth after caesarean section. Methods: A prospective observational study was conducted to evalauate the feto maternal outcome of VBAC in Guwahati medical college ,Gauhati, Assam . Total 100 women with previous history of once previous caesarean section was taken for the study. Results: In the present study 75% cases had successful VBAC and 25% underwent a repeat emergency LSCS for failed trial of vaginal delivery. Cervical dilation of more than 3 cm at time of admission was a signicant factor in favour of a successful VBAC. Birth weight more than 3 kg was associated with a lower success rate of VBAC. The incidence of scar rupture was 0% in present study. There was no maternal mortality in this study. Conclusion: With respect to maternal and fetal safety and success rate and adverse effects of VBAC ,the results of this study was promising and compatible with the global data. It shows that a trial of VBAC can be offered to pregnant women without contraindications with high success rate