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)....
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| Format: | Article |
| Language: | English |
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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 |
| _version_ | 1819098186390700032 |
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| author | Lekshmi Balachandran Pooja R Vaswani Ramakone Mogotlane |
| author_facet | Lekshmi Balachandran Pooja R Vaswani Ramakone Mogotlane |
| author_sort | Lekshmi Balachandran |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-22T00:26:59Z |
| format | Article |
| id | doaj.art-cb2bedfb710d490598d8c9ce59aadf53 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-22T00:26:59Z |
| publishDate | 2014-02-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-cb2bedfb710d490598d8c9ce59aadf532022-12-21T18:45:02ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2014-02-01829910210.7860/JCDR/2014/7774.4019Pregnancy Outcome in Women with Previous One Cesarean SectionLekshmi Balachandran0Pooja R Vaswani1Ramakone Mogotlane2Clinical Associate Professor, Department of Obstetrics and Gynaecology, Amritha institute of Medical Sciences, Kochi, Kerala, India.Specialist, Department of Obstetrics and Gynaecology, Madinat Zayed Hospital, Abudhabi, UAE.Consultant, Department of Obstetrics and Gynaecology, Cape Town, South Africa.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.https://jcdr.net/articles/PDF/4019/30-%207774_CE[Ra]_F(DK)_PF1(PAK)_PFA(NC_AK)_PF2(NJH)_BO(NJH).pdfvbactrial of scarelective repeat cesarean sectiontrial of labour |
| spellingShingle | Lekshmi Balachandran Pooja R Vaswani Ramakone Mogotlane Pregnancy Outcome in Women with Previous One Cesarean Section Journal of Clinical and Diagnostic Research vbac trial of scar elective repeat cesarean section trial of labour |
| title | Pregnancy Outcome in Women with Previous One Cesarean Section |
| title_full | Pregnancy Outcome in Women with Previous One Cesarean Section |
| title_fullStr | Pregnancy Outcome in Women with Previous One Cesarean Section |
| title_full_unstemmed | Pregnancy Outcome in Women with Previous One Cesarean Section |
| title_short | Pregnancy Outcome in Women with Previous One Cesarean Section |
| title_sort | pregnancy outcome in women with previous one cesarean section |
| topic | vbac trial of scar elective repeat cesarean section trial of labour |
| url | https://jcdr.net/articles/PDF/4019/30-%207774_CE[Ra]_F(DK)_PF1(PAK)_PFA(NC_AK)_PF2(NJH)_BO(NJH).pdf |
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