Urooj Malik, Shahina Ishtiaq, Asma Baloch.
Frequency And Safety Of Successful Vaginal Birth After Previous Single Cesarian Section.
Isra Med J Jan ;8(4):253-6.

OBJECTIVE: To assess the frequency of success of vaginal birth after one previous caesarean delivery and to assess safety in terms of maternal and perinatal complications in them. STUDY DESIGN: A prospective observational study. PLACE AND DURATION OF STUDY: Department of Obstetrics and Gynaecology Ziauddin Hospital Kemari campus, affiliated with st st Ziauddin University, from 1 June 2015 to 1 December 2015. METHODOLOGY: All the births during the study period in women with one previous cesarean section and onset of spontaneous labor at 36-38 weeks gestation and ultrasound measured scar thickness of .2.5 cm were included in our study. Age, body mass index, scar thickness, previous vaginal delivery and time since last delivery were recorded. Study participants were followed for the mode of delivery, uterine rupture, maternal and perinatal mortality. RESULT: A total of 118 patients were enrolled in our study. Successful vaginal birth after cesarean section was achieved in 67.8% of our study participants. None of the patients had uterine rupture. There was no case of maternal or perinatal mortality. CONCLUSION: Trial of scar is a safe option in terms of maternal and perinatal morbidity and mortality in well selected cases in females with one prior cesarean section.

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