Vaginal Birth After One Previous Lower Segment Caesarean Section Puja Puri, Mary Abraham, Seema Grover.

ABSTRACT

To find out the incidence and factors favorable for vaginal delivery after previous one lower segment CS and to document maternal and fetal complications if any in these women.It was a three year study (two year retrospective and one year prospective) and a total of 205 women with previous one lower segment CS for non recurrent indication were included in the study. Case selection for trial of vaginal delivery was done as per the ACOG guidelines.Out of 205 women who were given trial of labor, 56.1% had a vaginal birth after Caesarean section (VBAC) and 43.9% required emergency repeat CS. There was no maternal or neonatal mortality and also no case of uterine rupture.A trial of vaginal delivery after previous one LSCS in selected patients can eliminate the need for a large proportion of repeat CS. This can significantly decrease the incidence of postpartum morbidity, anesthetic and operative risks and financial liabilities.