EVALUATION OF THE PREDICTORS OF SUCCESSFUL VAGINAL DELIVERY IN WOMEN AFTER PREVIOUS CAESAREAN SECTION, A PROSPECTIVE STUDY IN A TERTIARY CARE HOSPITAL

SS FATIMA; SS HUSSAIN; A FARWA; S BAWAR

doi:10.54112/bcsrj.v2024i1.687

Authors

SS FATIMA Department of Obs and Gynae, Lady Reading Hospital (LRH ) Peshawar, Pakistan
SS HUSSAIN Department of Obs and Gynae, Lady Reading Hospital (LRH ) Peshawar, Pakistan
A FARWA Department of Obs and Gynae, Lady Reading Hospital (LRH ) Peshawar, Pakistan
S BAWAR Department of Obs and Gynae, Lady Reading Hospital (LRH ) Peshawar, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2024i1.687

Abstract

A study was conducted to determine the factors that contribute to a successful vaginal delivery in women who have previously undergone one lower-segment caesarean section. This study was conducted over six months, with the approval of the Institutional Research Committee. During the third trimester of their pregnancy, women carrying a single fetus with the cephalic presentation, who had previously undergone a lower uterine segment caesarean section, were given comprehensive information about the Trial of Labour After Caesarean (TOLAC) and Vaginal Birth After Caesarean (VBAC) during their prenatal visits. Upon arrival at the labour ward for induction of labour or during the early stages of labour, the women were asked for their consent to participate in the study. The relevant data was recorded on a pre-established, organised Performa. The study included 152 pregnant women, out of which 65 (42.8%) had a successful VBAC, while 87 (57.2%) failed to have a successful VBAC. The predictors of successful VBAC were identified as a history of previous VBAC or vaginal delivery and cervical dilation of more than 3cm upon admission. From this study, it can be concluded that in carefully selected cases, a trial of labour can be given to women with a history of prior CS in a tertiary care hospital where facilities for rigorous maternal and fetal monitoring are available.

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