Maternal and neonatal outcome in patients with vaginal birth after cesarean section
Dr Mahantappa A Chiniwar, Dr Sharada B Menasinkai
Materials and methods: A prospective Study was undertaken to know the neonatal and maternal outcome in patients admitted with previous Cesarean Section (C S) for the period of 1 yr and 9 months in Govt Medical College Mysore from Oct 98 to June 2000.The details of previous C S collected from cases admitted with previous C S. Present pregnancy details were collected. Mode of delivery, or C S details were noted. Vaginal delivery monitored and failed trial cases were taken for repeat C S. Maternal and neonatal outcome was studied in the VBAC and repeat C S cases. Results: Among the total 14164 admissions to labour ward, there were 942 patients with previous C S (14.87%) Elective C S was done for 530 cases and 412 cases were planned for trial of labour and 311 had vaginal deliveries, with success of vaginal birth after cesarean ( VBAC) 75.48%.There were 5 cases with rupture uterus and subtotal hysterectomy was in 3 and closure of rent in 2 cases. Repeat C S was done in 96 cases. Neonatal outcome in VBAC babies was, 83.28% healthy, 7.72% had morbidity & admitted to NICU and 9% had mortality. Neonatal outcome in repeat C S were normal 32.3%, morbidity and admission to NICU 41.66%, mortality 26.04%. Maternal mortality 2 unbooked patients, 1 was associated with asthama and COPD, another with severe anemia and scar rupture.
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