Outcome of post caesarean pregnancy in a tertiary care centre in south India

Prabha, Sathya; Naralkar, Manasi; Prema, Prema

doi:10.21276/obgyn.2020.7.7

Cited by 3 publications

(3 citation statements)

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“…The reasons for the higher VBAC success rates in the studies by western authors can be attributed to the fact that the ANC care was same but maternal opt out was lower than in our study. 8 An African study comprised analytical data from 14 different clinical trial scenarios and reported that the average VBAC success rate was 69 % in the studies. This is again on the higher side as compared to our sample.…”

Section: Discussionmentioning

confidence: 99%

Outcome of post caesarian pregnancy in a tertiary care hospital in Udaipur, Rajasthan

Sharma¹,

Jadeja

Malhotra

2021

Int J Reprod Contracept Obstet Gynecol

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Background: The prevalence of caesarean section has increased due to a variety of factors such as patient choice and relative safety of the procedure. However in many cases the risk involved in LSCS is still present.Methods: The present study was designed to evaluate the outcome in cases where VBAC or TOLAC were used for the second pregnancy in a previous LSCS case. The study employed a sample of 60 subjects who were equally divided in two groups who were subjected to elective cesarian and TOLAC.Results: The results showed that TOLAC did have a better outcome as compared to repeat cesarian in context of maternal and foetal factors.Conclusions: The practice of TOLAC must be tried as an alternative and can be a viable option for uncomplicated post cesarian deliveries.

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Section: Discussionmentioning

confidence: 99%

Outcome of post caesarian pregnancy in a tertiary care hospital in Udaipur, Rajasthan

Sharma¹,

Jadeja

Malhotra

2021

Int J Reprod Contracept Obstet Gynecol

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“…By choosing VBAC, women with a history of caesarean deliveries can mitigate the risks associated with undergoing repeat caesarean surgeries. 9 Evidence suggests that women with a high chance of successful VBAC have similar or lower maternal morbidity compared to those undergoing elective repeat caesarean deliveries. 10 Promoting VBAC as a safe alternative to repeat caesarean delivery is crucial in improving maternal and neonatal outcomes.…”

Section: Introductionmentioning

confidence: 99%

Predicting the Likelihood of Successful Vaginal Birth after Caesarean Section (VBAC): A Comparative Analysis of the FLAMM and GEIGER Scoring Systems

Chauhan

2023

IJoHEMI

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The increasing global rates of caesarean deliveries are influenced by various factors, including clinical contexts, patient preferences, and maternal demographics. However, vaginal birth after caesarean (VBAC) offers significant advantages by avoiding major surgery and reducing maternal complications. It is important to carefully consider the risks of failure and complications when making decisions regarding the trial of labour after caesarean (TOLAC). Methods:The study involved a prospective observational analysis of 60 pregnant women with a singleton pregnancy at 37 weeks or later who had previously undergone a lower-segment caesarean delivery. Inclusion criteria encompassed specific conditions related to the previous caesarean, vertex presentation, adequate maternal pelvis, and an estimated foetal weight of ≤ 3.5 kg. Results:The results indicated that none of the participants scored between 0 and 2 on the FLAMM & GEIGER scale. Participants with a score of 3 exhibited a 100% failure rate of VBAC and underwent a caesarean section. Among those with scores of 4, 61.9% achieved successful VBAC and had a vaginal delivery. Scores 5, 6, and 7, all resulted in 100% successful VBAC and vaginal deliveries. No participant scored above 7. The difference between successful and failed VBAC was statistically significant (p < 0.001). Conclusion:The FLAMM & GEIGER scoring system, considering various factors related to the mother and foetus, proved to be a valuable tool in predicting VBAC success.

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“…However, after realization of risks behind repeated CS, some experts took initiative of 'Trial of Labor After caesarean, to put forward an alternative to reduce caesarean section rates. [2][3][4][5][6][7][8][9] Some of the high risks posed by caesarean are: anesthesia risks, excess bleeding, blood transfusion, adjoining organ injury, neonatal respiratory distress syndrome, infections, repeated caesareans and related risks (placenta previa, rupturing of uterus, intraabdominal adhesion), etc. [10][11] Avoiding all this, vaginal birth after caesarean delivery (VBAC) is considered as a better option for women who fulfill the criteria of giving trial of labor after caesarean sections.…”

Section: Introductionmentioning

confidence: 99%

Vaginal birth after multiple caesarean section: a case report from India

Wakode

Sharma

2023

Int J Reprod Contracept Obstet Gynecol

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Lower segment caesarean sections increase the possibility of maternal morbidity. Hence, since last few decades, initiative for trial of labor after caesarean delivery is being encouraged in selected cases. Accordingly, a 23-year-old fifth gravida, who had a history of previous three lower segment caesarean sections and one vaginal birth approached for delivery service and plan for her vaginal delivery was made after thorough examination and evaluation. A live female child of 3100 grams was delivered following episiotomy. In post-partum period, it was observed that uterus was involuted on abdominal examination and uterine contours were regular in ultrasonography. As the evidences for practice of vaginal delivery in women who underwent 2 or more previous LSCS are still fewer, this report intends to highlight the possibility of successful vaginal birth after multiple caesarean sections.

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Outcome of post caesarean pregnancy in a tertiary care centre in south India

Cited by 3 publications

References 0 publications

Outcome of post caesarian pregnancy in a tertiary care hospital in Udaipur, Rajasthan

Outcome of post caesarian pregnancy in a tertiary care hospital in Udaipur, Rajasthan

Predicting the Likelihood of Successful Vaginal Birth after Caesarean Section (VBAC): A Comparative Analysis of the FLAMM and GEIGER Scoring Systems

Vaginal birth after multiple caesarean section: a case report from India

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