Pregnancy Outcome in Women with Previous One Cesarean Section
Objective: The purpose of this study was to determine the outcome of pregnancy in women with previous one cesarean section in relation to vaginal delivery and maternal and perinatal complications. It also aimed at identifying the factors, which can influence the outcome of trial of scar (TOS)....
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2014-02-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/4019/30-%207774_CE[Ra]_F(DK)_PF1(PAK)_PFA(NC_AK)_PF2(NJH)_BO(NJH).pdf |
| Summary: | Objective: The purpose of this study was to determine the
outcome of pregnancy in women with previous one cesarean
section in relation to vaginal delivery and maternal and perinatal
complications. It also aimed at identifying the factors, which can
influence the outcome of trial of scar (TOS).
Materials and Methods: A retrospective analysis of medical
records of 151 women with previous one cesarean section who
delivered at the Mafraq Hospital, Abu Dhabi between January–
August 2011was carried out. Those women with previous classical
cesarean section and those with extreme prematurity were
excluded. The collected data were analyzed using SPSS software
version 20. Continuous and categorical data were presented
in the form of mean, standard deviation and percentage, while
proportions were analyzed using the chi-square test. A p-value
≤0.05 was considered statistically significant.
Results: Of the 151 women, 115 were candidates for TOS. Of
them, 96 (83.47%) had vaginal birth after cesarean (VBAC) and
19 (16.5%) had a repeat cesarean section. There were four cases
of primary postpartum hemorrhage (PPH) and two cases of scar
dehiscence in the study group. No significant perinatal morbidity
was observed. VBAC rate was significantly more in women who
had prior vaginal deliveries, especially in those with previous
VBAC.
Conclusion: In carefully selected cases, trial of labour (TOL)
after a prior cesarean is safe and often successful. A prior vaginal
delivery, particularly, a prior VBAC are associated with a higher
rate of successful TOL. |
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| ISSN: | 2249-782X 0973-709X |