Maternal and Fetal Outcome in Patients with Vaginal Birth After Caesarean Delivery Comparison to and Elective Caesarean Section with Previous One LSCS

Abstract

Introduction: Noteworthy improvements in maternal morbidity and mortality have been made possible by Caesarean section. However, vaginal birth after cesarean section (VBAC) is linked with better outcome in certain regards. The present study was aimed to study the maternal and fetal outcome in patients with VBAC and elective caesarean section with previous one LSCS.
 Methodology: Women with history of previous LSCS were divided in to two groups: Group 1- Women delivered by VBAD in the current pregnancy, and Group 2 - Women delivered by elective LSCS in the current pregnancy. Maternal and foetal outcome were assessed after delivery.
 Results: Total 90 women in each group were included in the study. The duration of active stage of labour was significantly higher in LSCS group compared VBAC group (p<0.05). Blood Transfusion and Premature rupture of membrane were not associated with any of the two groups. (p>0.05). The mean APGAR score at 1 min and 5 min were significantly better in VBAC group compared to in LSCS group (p<0.01). Mean stay of hospitalization was significantly higher in LSCS group (p<0.01).
 Conclusion: Better Bisho’s score has significantly more chances of successful VBAC. VBAC has better APGAR score at 1 min and at 5 min compared to LSCS group. Birth weight is not affected by the type of delivery after first caesarian delivery.