1Staff Physician Department of Obstetrics and Gynaecology, KK Women’s and Children’s Hospital (KKH), Singapore
2Specialist and Deputy, Head of Obstetrics & Gynaecology Department, RIPAS Hospital
3Medical Officer, Disease Control Division, Ministry of Health, BruneiDarussalam
4Associate Professor, Newcastle University Medicine, Johor, Malaysia
*Corresponding Author E-mail: nnisoe@gmail.com
Online Published on 31 October, 2023.
The rate of primary caesarean section (CS) is on the rise; it was 30.8% for primiparous women and 11.5% for multiparous women. A trial of vaginal delivery can prevent the risk of repeat CS.
The study was to determine the success rate, and also maternal and neonatal implications of VBAC (Vaginal Birth after Caesarean), attempted in women with one previous lower segment caesarean section (LSCS).
The retrospective and descriptive study was carried out in a tertiary care hospital, RIPAS Hospital, Brunei Darussalam, over a period of three months (from February 2010 to May 2010). All women with prior LSCS who are suitable for a trial of labour after the previous caesarean (TOLAC) were included in our study. Sixty-one pregnant women with a history of one previous LSCS were enrolled in the study.
In our study (38/61) 62.3% of patients had a successful VBAC, and (23/61) 37.7% had undergone a repeat emergency LSCS. In those who had the previous VBAC, cervical dilatation of >4 cm at the time of admission and those who had the previous VBAC are significant factors for a successful VBAC.
The trial of VBAC in selected cases has great importance in the present era of the rising rate of primary CS, as it has a considerable success rate and is not associated with serious maternal and foetal morbidity and mortality.
Lower segment caesarean section, Scar dehiscence, Trial of labour, Vaginal birth after caesarean section
