Retrospective study on outcome of trial of vaginal birth after Previous Caesarean Section and indications for emergency repeat caesarean section in tertiary care hospital

Data was recorded on management practices, associated complications and mortality for a period of 1 year in 2015–2016 at teaching hospital for vaginal delivery after caesarean section(VBAC).

A total of 4996 deliveries occurred during the study duration, there were 2248(45%) total cesarean section and 767(33%) were the number of previous cesarean section. In 767 previous LSCS cases 644(28%) had repeat cesarean delivery and 123(5%) delivered vaginally. A trial of labor was planned in 206 women. The success rate of VBAC was 60% with 123 women had successful vaginal delivery and 83 delivered by emergency repeat cesarean section. Major indication of emergency cesarean section was CPD (27%), fetal distress(5%), medical disorder associated (12%), PROM (24%). In majority, surgical technique was conventional. Scar dehiscence and surgical complications were observed in 5.4% and 4.0% of cases respectively. Blood transfusion was given in 1 and post-operative complications were seen in 12. One patient had broad ligament hematoma compressing ureter, who underwent DJ stenting, managed conservatively. Other patient had atonic bladder who had prolonger per urethral catheter, others had complications like fever in postoperative period, UTI, wound infection.