Rabia Benish, Neelam Iqbal, Munawar Saleem Khan, Asad Mahmood Khan, Ghulam Dastgir, Mehreen Baig, Ayesha Tahir, Fatima Khosa, Salma Zafar, Iqra Nisar, Ramsha Rafiq, Ahmad Jamal.
Success Rate of Vaginal Deliveries after previous C-section in a Tertiary Care Hospital.
Pak J Med Health Sci Jan ;12(2):427-29.

Aim: To find out the success rate of vaginal deliveries after previous cesarean section, in pregnant females given a trial of labor, and the foremost factors that lead to the failure of these trials. Design: A cross-sectional study was carried out on one hundred selected cases of a single previous cesarean section with low transverse uterine incision within the past one year. Questionnaires were filled by members of the research study using pre-existing medical records. Setting: The study was carried out at the Obs & Gynae Department of a tertiary care hospital in Lahore. Subjects: A sample size of one hundred pregnant females was analyzed. Only the women, with history of single cesarean section by low transverse uterine incision and with no underlying health problems were included Results: In this study, 24% of cases underwent successful trial of labor, giving birth to the fetus vaginally, and the remaining 76% had a repeat emergency c-section. The main factors that led to failure of vaginal delivery in the selected cases were arrested labor (39.47%), fetal distress (23.68 %) and breech presentation of the baby Conclusion: The success rate of VBAC in this study was lower than other similar studies that have been conducted in Pakistan. Awareness about VBAC and its benefits, over elective repeat C-section, formaternal and child health need to be highlighted by all health professionals and in all tertiary care hospitals.

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