FREQUENCY OF SUCCESSFUL VAGINAL BIRTH AFTER CESAREAN SECTION IN PATIENTS WITH PREVIOUS ONE CAESAREAN SECTION

JPUMHS;2023:13:04,12-16. http://doi.org/10.46536/jpumhs/2023/13.04.464

Abstract

ABSTRACT: OBJECTIVE: To determine the frequency of successful vaginal birth after cesarean section in patients with previous one caesarean section. MATERIAL AND METHODS: This cross-sectional study was carried out in the Department of Obstetrics and Gynaecology Hayatabad Medical Complex, Peshawar. A cohort of 147 participants was thoughtfully selected. The study included women aged 18 to 40 years, each of whom had previously undergone at least one caesarean section. Singleton pregnancy on ultrasound, Cephalic presentation on ultrasound, Gestational age 37-41 weeks LMP, Parity ≥ 1 and previous delivery by caesarean section on medical record were included in the study. Those who had high medical or obstetric risks, unfavorable cervix (with a Bishop score less than 6) and whose medical condition or personal choice led them to refuse participation were excluded from study. RESULTS: Age group was analyzed as 97(66%) patients belongs to age group of 18-30 years while 50(34%) belongs to age group <30 years. Total 76(78.4%) & 4(8%) successful vaginal deliveries after C-section was performed in both 18-30 years & < 30 years age groups respectively. Total 117(79.6%) patients had gestational age of 37-39 weeks and 30(20.4%) had >39 weeks of gestational age. Successful vaginal delivery after cesarean was noted in 65(55.6%) cases in 37-39 weeks gestational age patients and in 15(50%) of > 39 weeks gestational age women’s respectively.CONCLUSION: In conclusion, more than half of the patients who accepted TOLAC had a VBAC.