Maternal Morbidity Associated With A Successful Versus Failed Trial of Labour After A Previous Caesarean Section

Beenish Rashid; Abida Ashraf; Mahpara Tariq; Abeera Choudry; Qurat ul Ain; Hira Shafqat

doi:10.51253/pafmj.v74i1.10282

Authors

Beenish Rashid Department of Gynae & Obs , Pak Emirates Military Hospital (PEMH) / National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Abida Ashraf Department of Gynae & Obs , Combined Military Hospital Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Mahpara Tariq Department of Gynae & Obs , Pak Emirates Military Hospital (PEMH) / National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Abeera Choudry Department of Gynae & Obs , Pak Emirates Military Hospital (PEMH) / National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Qurat ul Ain Department of Gynae & Obs , Pak Emirates Military Hospital (PEMH) / National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Hira Shafqat Department of Gynae & Obs , Pak Emirates Military Hospital (PEMH) / National University of Medical Sciences (NUMS) Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v74i1.10282

Keywords:

Caesarean Section, Trial of Labour, Obstetric Labour

Abstract

Objective: To compare the maternal morbidity associated with a successful trial of labour after the previous scar versus a failed trial of labour after the previous scar and ending in repeat Caesarean section.

Study Design: Cross-sectional study.

Place and Duration of Study: Department of Gynaecology and Obstetrics, Pak-Emirates Military Hospital, Rawalpindi Pakistan, from Jun to Dec 2022.

Methodology: A total of six hundred and ten (n=610) patients were in the study. The variables studied while observing the outcome included indication of Caesarean section in the previous delivery, birth weight of the baby, overall outcome and post-operative maternal complications.

Results: The mean age of the participating patients was 24.44±3.89 years. Of the 610 patients, 278(45.6%) delivered successfully via vaginal delivery after a previous Caesarean section, while 332(54.4%) had to be delivered again via repeated Caesarean section. Overall outcome in both groups revealed 331(99.7%) patients were delivered by Caesarean section, with 01(0.3%) patients landing in a ruptured uterus in the Caesarean Section Group.

Conclusion: Previous history of normal vaginal delivery, increased parity and birth weight less than 3 kg have a better chance of a successful Vaginal Birth after a Caesarean section in selected patients resulting in fewer complications and decreasing the overall Caesarean section rate.

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