A Prospective Observational Study on Maternal and Perinatal Outcome in Trial of Labour after Caesarean at Tertiary Care Hospital, India | Chapter 4 | Recent Developments in Medicine and Medical Research Vol. 14

 The goal of this study was to compare maternal and perinatal outcomes between a TOLAC and an emergency repeat caesarean birth (ERCD).

A one-year prospective observational research was conducted at a tertiary care facility.

Methods: The American College of Obstetricians and Gynecologists (ACOG) recommended that candidates for vaginal birth after caesarean section (VBAC) be chosen based on the advice of the American College of Obstetricians and Gynecologists (ACOG) in 2010. The VBAC success rate, maternal problems, and the number of days spent in the hospital were used to assess the maternal outcome. The 5-minute Apgar score and the necessity for neonatal intensive care unit (NICU) admission were used to assess the perinatal outcome.

A total of 250 patients were tested for vaginal delivery. VBAC has a success rate of 169/249. (67.9 percent). For 80/249 (32.1%) of the patients, further CS was necessary. The rate of vaginal birth was higher in instances with a Bishop score of greater than 6 (89.6%) than in cases with a Bishop score of less than 6 (17.4%) (p=0.01). VBAC success rates were higher (91.8%) in spontaneous labour than in induced labour (55.5%) (p=0.01). Subjects with a history of previous vaginal deliveries accounted for 8/12 (66.6 percent) of those who gave birth vaginally. 5/169 VBAC newborns had a low 5-minute Apgar score, compared to 3/80 from repeat CS.

Conclusions: VBAC has the benefits of a shorter hospital stay, cheaper expenditures, and less morbidity. TOL may be promoted because foetal morbidity and death are comparable to those of women who give birth without a scar. Women can be given TOL with close monitoring and taken for emergency LSCS on very little notice, and this may be the best way to deal with a previous CS in labour.

Author(S) Details

Ingle Sharad Prabhakarrao
Department of Obstetrics and Gynecology, RDT Hospital, Bathalapalli, Ananthapur District, Andhra Pradesh, India.

Shalaka Bansode
Department of Obstetrics and Gynecology, RDT Hospital, Bathalapalli, Ananthapur District, Andhra Pradesh, India.

Sumathi Balakuduru
Department of Obstetrics and Gynecology, RDT Hospital, Bathalapalli, Ananthapur District, Andhra Pradesh, India.

View Book:- https://stm.bookpi.org/RDMMR-V14/article/view/4982