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Abstract

Objective
To document the maternal and fetal outcome among women undergoing vaginal birth after previous one caesarean section.
Study design
Cross sectional study.
Place & Duration of study
Department of Obstetrics & Gynecology, Abbasi Shaheed Hospital Karachi, from January 2020 to September 2020.
Methodology
In this study 109 women with previous single cesarean section, single alive fetus, not having a contraindication to planned vaginal birth after cesarean section, at 37 completed weeks of gestation were included. Trial of vaginal birth after caesarean section (VBAC) was decided for those who fulfill the Royal College of Obstetrics and Gynaecology (RCOG) criteria for VBAC. Data were collected regarding demographic variables, maternal and fetal outcome. Data were analyzed by SPSS version20 with frequency and percentages.
Results
A total number of 314 women were admitted with previous one caesarean section. Out of 109 women, 67 (61.47%) had vaginal delivery. Of these 63 (57.79%) had spontaneous vaginal delivery, and 4 (3.66%) required outlet forceps. Forty-two (38.53 %) women had repeat caesarean section. Among women who delivered vaginally, common indications for previous cesarean section were fetal distress (n=21, 19.26%) and non-progress of labor (n=11, 10.09 %). There was only single case (1., 0.91%) of scar dehiscence during the trial. Most of babies (n=95,87%) were born with Apgar score of >8.
Conclusion
Trial of labor is safe and successful in well selected females with previous one caesarean section in tertiary care hospital under supervision of experienced obstetrician.
Key words
Repeat cesarean section, VBAC, Fetomaternal outcome.