Abstract
Background and Objectives:Women with previous cesarean sections constitute a high-risk group in obstetrics. The objective of study was to compare Perinatal outcome in TOLAC and Repeat CS group. Method:The study was a prospective observational study conducted in The NSCB Medical College, Jabalpur from January 2020 to June 2021. Cases with previous one cesarean section for outcome in present pregnancy were taken and Cases with gestation before 28 weeks and previous section > 2 were excluded. Result:A total of 384 cases presented with the previous one CS,NICU admission were higher in Failed TOLAC (24.52%) compared to Repeat CS (17.81%) and VBAC (12.50%). Also stillbirth were higher in Failed TOLAC (15.09%) compared to Repeat CS (7.27%) and VBAC (7.51%). Conclusion:The risk of perinatal morbidity and mortality observed in TOLAC after CS compared to non-TOLAC warrants caution in planning and delivery care.Thus to increase TOLAC safety, we do stress that TOLAC should take place at facilities with 24-hour surgery services, and under continuouslabor and fetal monitoring by a skilled professional.
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