SUCCESS RATE OF VAGINAL BIRTH IN WOMEN WITH PREVIOUS ONE CAESAREAN SECTION.

Abstract

ABSTRACT
BACKGROUND: Caesarean section (CS) is a common obstetric surgical procedure. CS is
used to prevent and reduce the fatality of foetal and maternal. About 10% CS are not related
with low level of foetal and maternal death. History of previous CS is a major cause of
higher cesarean proportion; this study was conducted to determine the success rate of
vaginal delivery in women who have had a previous cesarean section. METHODS: This
cross-sectional study was conducted in department of Obstetrics & Gynecology, Hayatabad
Medical Complex, at Peshawar. The study was conducted in duration of Six months from
Dec 2019 to 26 June 2020. All pregnant women who attended maternity department and the
delivery room of hospitals and fulfilled the inclusion criteria were included. Written
informed consent was taken before investigations. RESULTS: A study of 355 women found
that 40.0% (n=142) had a successful vaginal birth following a previous caesarean section,
while 60.0% (n=213) did not. This finding is concerning because vaginal birth after
caesarean section (VBAC) is associated with faster recovery, lower costs, and lower risks
associated with repeat caesarean section. CONCLUSION: Induced labour patients who
have previously delivered by caesarean section had poorer vaginal birth success rates and a
higher chance of caesarean section because of foetal distress. To know about antenatal and
intrapartum factors leading to successful vbac.