A Retrospective Study to Evaluate Maternal and Fetal Outcomes in Vaginal Birth After Cesarean Section

Abstract

Background: Primary cesarean section (CS) rates are increased these days. A growing number of women report having had a previous CS. The aim of this study was to determine the factors that influence maternal and fetal outcomes in vaginal birth after Caesarian section.Methodology: A retrospective research was performed on 100 postpartum women who gave birth vaginally in SNMMCH, Dhanbad, Jharkhandafter a previous Caesarian section from 01/09/19to31/03/21. The research enlisted the aid of women who had already undergone one LSCS. With nonrecurrent indications and prior vaginal delivery either before or after caesarian sectionin all cases, a complete history and abdominal and vaginal examinations are performed shortly after admission to determine the size of the fetus, its location and appearance, membrane status, cervical dilatation, bishop score, and the adequacy of the maternal pelvis.Results: 169 women who had previously caesarian section were offered a trial of labor (82.84 %) out of 204 women with previous CSs. 100 women with prior LSCS had healthy vaginal births out of them. After caesariansection, the success rate of vaginal delivery was found to be 59.17%. During the study period, there were 69 LSCS for failed labor trials. In the current research, uterine rupture occurred in 1% of cases.Conclusion:If cases are carefully selected, vaginal birth after Caesarean is a healthy option. After a caesarian, vaginal birth should not be attempted for at least two years.