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ORIGINAL ARTICLE
Year : 2013  |  Volume : 5  |  Issue : 2  |  Page : 140-144

Vaginal birth after cesarean section


1 Department of Obstetrics and Gynaecology, Rural Medical College and Pravara Rural Hospital of Pravara Institute of Medical Sciences, (Deemed University) Loni, Maharashtra, India
2 Department of Community Medicine (PSM), Rural Medical College and Pravara Rural Hospital of Pravara Institute of Medical Sciences, (Deemed University) Loni, Maharashtra, India

Correspondence Address:
Vidyadhar B Bangal
Department of Obstetrics and Gynaecology, Rural Medical College of Pravara Institute of Medical, Sciences (Deemed University), Loni, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1947-2714.107537

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Background: The rate of primary cesarean section (CS) is on the rise. More and more women report with a history of a previous CS. A trial of vaginal delivery can save these women from the risk of repeat CS. Aims: The study was conducted to assess the safety and success rate of vaginal birth after CS (VBAC) in selected cases of one previous lower segment CS (LSCS). Materials and Methods: The prospective observational study was carried out in a tertiary care teaching hospital over a period of two years. One hundred pregnant women with a history of one previous LSCS were enrolled in the study. Results: In the present study, 85% cases had a successful VBAC and 15% underwent a repeat emergency LSCS for failed trial of vaginal delivery. Cervical dilatation of more than 3 cm at the time of admission was a significant factor in favor of a successful VBAC. Birth weight of more than 3,000 g was associated with a lower success rate of VBAC. The incidence of scar dehiscence was 2% in the present study. There was no maternal or neonatal mortality. Conclusion: Trial of VBAC in selected cases has great importance in the present era of the rising rate of primary CS especially in rural areas.


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