Indian Journal of Obstetrics and Gynecology Research

  • Year: 2017
  • Volume: 4
  • Issue: 1

Labour outcome of pregnancies with previous lower segment Cesarean section

1Assistant Professor, Dept. of Obstetrics & Gynecology, Shimoga Institute of Medical Sciences, Shimoga

2Associate Professor, Dept. of Obstetrics & Gynecology, Shimoga Institute of Medical Sciences, Shimoga

3Senior Resident, Dept. of Obstetrics & Gynecology, Shimoga Institute of Medical Sciences, Shimoga

4Professor, Dept. of Obstetrics & Gynecology, Shimoga Institute of Medical Sciences, Shimoga

Abstract

To evaluate safe mode of delivery for patients with previous lower segment Cesarean Section.

A prospective study conducted on 100 women with previous lower segment Cesarean section during the period from June 2015 to Dec 2015. Women enrolled for trial of scar were closely monitored for evidence of either maternal or fetal distress.

In the present study of the 100 patients, 24 (24%) delivered vaginally. Commonest indication for repeat Cesarean was previous Cesarean followed by CPD & Fetal distress.

Spontaneous onset of labour, prior vaginal delivery, non-recurrent indication for previous Cesarean, weight of the baby less than3.5Kg are predictors of successful vaginal birth in women with one previous Cesarean Section.

Keywords

Vaginal birth after Cesarean, Trial of scar, Emergency Cesarean