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Success of VBAC in A Tertiary Hospital

Uma Pandey* , Uma Pandey* , Priyanka Tripathy**

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Indian Journal of Obstetrics and Gynecology 5(1):p 99-102, January - March 2017. | DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.5117.17

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Abstract

 Objectives: To assess success of vaginal birth after caesarean section and maternal-fetal outcome in such cases. Methods: Prospective Observational study in a University teaching hospital at Varanasi. The study period was June 2015- December 2015, a total of 68 patients were included. Those women who had Caesarean sections in past and were found suitable for VBAC were included in the study admitted to the labour ward. Results: 42 (61.76%) of women had VBAC (Vaginal Birth After Caesarean section) and 26 (38.23%) had ERCS (Emergency Repeat Caesarean Section). Maximum number of women who had VBAC has LSCS (Lower Segment Caesarean Section) in the past for fetal distress (73.33%). ERCS (failed VBAC) was done maximally for fetal distress (53.84%), then for failure to progress (38.46%) and 7.6% for scar tenderness.Maternal complications were lower in the VBAC group: fever (9.5%), blood transfusion (7.1%); while ERCS group had wound infection (30.76%), blood transfusion (34.61%). Conclusion: The study shows encouraging result for VBAC in a good set up to be followed to reduce Caesarean rate.

Keywords: Vaginal Birth after Caesarean Section; Lower Segment Caesarean Section; Uterine Rupture; Maternal Morbidities.

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DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.5117.17

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