Prognostic factors for successful vaginal birth after cesarean section — Analysis of 162 cases

Doshi, Haresh; Jain, Rajendra Singh; Vazirani, Aarti A.

doi:10.1007/s13224-010-0056-6

Cited by 25 publications

(26 citation statements)

References 5 publications

(1 reference statement)

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“…9 In the presence study neonatal rate had significance role in success of trial of labour after cesarean p value <0.05 which is consistent with Archana Maurya et al 8 Doshi et al p value <0.02 whereas study done by birara and geberhibot shows that there is no association between birth weight of baby in success of VBAC. 10 In the present study interval between two deliveries had significant role in success of TOLAC p value <0.003 if the interval is less than 2 years the rate of LSCS were high and if the interval is more than 2 years the rate of elective repeat cesarean section were less the result were consistent Archana Maurya et al p value <0.001 and Doshi et al p value <0.01. 8,10 So there is no such rule that the patient can be delivered vaginally or should go for elective repeat LSCS after primary LSCS, each and every patient should be evaluated and line of treatment should be individualised.…”

Section: Discussionsupporting

confidence: 68%

Safety and efficacy of trial of labour after cesarean

Tater

Garg

Jawa

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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INTRODUCTION"ONCE CAESAREAN ALWAYS A CAESAREAN" was the term given by CRAGIN in 1916. 1 That era was of classical Caesarean section. Now the scenario has been changed and today we are performing lower segment caesarean section. The lower segment cesarean section gives us the liberty to give trial of labour after cesarean.The rates of primary LSCS in increasing steadily and there is decreasing trend of vaginal birth after caesarean (VBAC), to decrease the rate of LSCS ACOG recommends that most pregnant women with previous 1 LSCS should be counselled for VBAC and trial of labour after cesarean (TOLAC). 2Appropriate clinical settings and properly selected group of patients can make the vaginal birth after caesarean (VBAC) safe and effective. Trial of labour after cesarean decreases rate of caesarean section and the morbidity associated with surgical intervention. In VBAC there is less blood loss, shorter duration of stay in hospital, less intrapartum and postpartum infections and it further decreases the economic burden on society and the individuals. Aim To evaluate safety and efficacy of trial of labour after lower segment caesarean section. Objectives ABSTRACTBackground: In recent years, there are increasing numbers of cases which report for delivery after previous LSCS. Trial of labour after lower segment cesarean section can save them from repeat LSCS and its complications. Aim of study was conducted to evaluate the safety and efficacy of trial of labour after LSCS. Methods: This is a prospective study carried out at Mahatma Gandhi Hospital. One hundred pregnant patients with previous LSCS giving informed consent for trial of labour after cesarean section (TOLAC) were enrolled. Case selection was done as per the ACOG guidelines. Continuous fetal and maternal monitoring done by WHO partograph and cardiotocography. If there appeared any indication for repeat cesarean then emergency LSCS was done. Results: In this study, 80% of the enrolled patients delivered vaginally and 20% underwent repeat emergency LSCS. 2% of the enrolled patients underwent scar dehiscence. The patients in the active phase of labour on admission had more chances of successful vaginal birth after cesarean section (VBAC). Birth weight of more than 3000 grams is associated with lower rates of successful VBAC. There was no maternal mortality but 1% intrauterine fetal death due to scar rupture was there. Conclusions: TOLAC is safe and the success rates are good. Proper selection of cases with adequate fetal and maternal monitoring is required. So, once cesarean always cesarean is not a true dictum.

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Section: Discussionsupporting

confidence: 68%

Safety and efficacy of trial of labour after cesarean

Tater

Garg

Jawa

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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“…This was consistent with studies done by Caughey et al and Doshi et al 9,12 Another important finding is that with increasing neontal birth weight chance of successful trial of labour is reduced which supports the study done by Doshi et al but Birara et al opposed such association between birth weight of baby and success of VBAC.…”

supporting

confidence: 90%

“…8 Doshi et al did a similar study involving 216 women, found that 75% had VBAC and the most common indication reported was malpresentation which is consistence with present study results. 9 This suggests nonrecurrent indication of previous CS was associated with higher rate of successful VBAC delivery. Cases that had NPOL in previous pregnancy i.e.…”

Section: Discussionmentioning

confidence: 95%

Study of Factors Associated with Success of Vaginal Birth after Previous One Caesarean Section

Bindal¹

2018

jmscr

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“…Dense adhesion between intra peritoneal organs obstructing operative field were seen in 21 In a study by Vidyadhar et al, admission rate to NICU was 4% where as it 22% in a study by Nilanchali et al, and 27% in Shruti S Goel and et al, study. 4,9,13 In my study it was 12.95%. Neonatal death or IUD in my study was 0.9%.…”

Section: Discussionmentioning

confidence: 53%

“…[12][13][14][15] The most dreaded complication of giving a TOLAC (Trial of labour after Cesarean section) is uterine rupture. A systematic review by Hofmeyr et al reported a 1% worldwide prevalence of uterine rupture among women with a previous CS birth.…”

Section: Discussionmentioning

confidence: 99%

Maternal and fetal outcome in pregnant women with previous one lower segment cesarean section

Singh

Dhama

Chaudhary

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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INTRODUCTIONCesarean section is one of the most commonly performed abdominal operations on women in most countries. Cesareans section aims at reducing maternal and fetal mortality and morbidity by virtue of its cautions and careful approach. In many countries, C-sections have become the mode of delivery in over a quarter of all the birth. The World Health Statistics (WHS), 2012, released on Wednesday, said 9% of all births in India were by Caesarian section. The latest figure has gone up by 5% since nearly one in 10 women in India, who gave birth between 2005 and 2010, had gone under the surgical knife.1 Using the data of national family health survey India (1992-93) Mishra and Ramanathan found that among 18 large states two states has CS rate near 15 percent and the rest had less than 5 percent. ABSTRACTBackground: Cesarean section is one of the most commonly performed abdominal operations on women. Because of increasing incidence of Cesarean sections the no. of patients with previous 1 LSCS is also increasing. Thus proper antenatal counseling and institutional delivery should be done. Methods: A prospective observational study was conducted at department of Obstetrics and Gynaecology, LLRM Medical College Meerut during one year period from Nov 2015-May 2016. Participants to study the maternal and fetal outcome in pregnant women with previous one LSCS. 200 pregnant women were included in the study and outcomes were studied. Results: Maternal Outcome: Out of 200 cases 122 patients underwent vaginal birth after Cesarean (VBAC) accounting for 61% and 78 patients underwent 2nd LSCS (76 emergency LSCS and 2 elective LSCS). Out of 76, 55 patients were given trial of VBAC but failed and end up in C-Section showing success rate of 68.92% for VBAC (122 out of 177). Adhesions were found in 21patients out of 78 (26.92%) who underwent LSCS. Uterine rupture seen in 2 patients out of 200 cases (1.0%). Scar dehiscence was seen in 6 out of 78 patients (7.69%). Post-partum Hemorrhage was seen in only 20 (10%) patients. Pre-term Pregnancy occurred in 16 (8%) patients. Caesarean Hysterectomy had to be done in 3 (1.5%) patients. Placenta Previa was seen in 6 out of the 200 patients (3%) and placenta accrete was seen in 1 patient (0.5%). Out of 200 patients, 2 twins were born. The total number of babies born was 201. 8 IUDs occurred out of 201 babies (3.98%) and a total of 25 out of 193 live babies (12.95%) required admission to Neonatal Intensive Care Unit out of which 2 babies died. Conclusions: Cesarean section should not be always followed by a repeat cesarean section. Patient should have hospital delivery in a well-equipped hospital and complications should be diagnosed at an early stage so that maternal and perinatal morbidity and mortality could be prevented.

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Prognostic factors for successful vaginal birth after cesarean section — Analysis of 162 cases

Cited by 25 publications

References 5 publications

Safety and efficacy of trial of labour after cesarean

Safety and efficacy of trial of labour after cesarean

Study of Factors Associated with Success of Vaginal Birth after Previous One Caesarean Section

Maternal and fetal outcome in pregnant women with previous one lower segment cesarean section

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