Maternal and Fetal Outcomes in Previous One Cesarean Pregnancies

Abstract

A previous caesarean delivery does cast a shadow over the outcome of future pregnancy and labour, main fear being catastrophic uterine rupture. Vaginal birth or trial of labour after previous caesarean delivery has become one of the most remarkable and yet controversial changes in obstetric practice. This is being practiced as one of the strategies to control the alarming rise in rate of caesarean sections. Inspite of uterine rupture being a known complication, the trial of labour or scar (The word, once only used for cephalo-pelvic disproportion cases) of vaginal birth after caesarean (VBAC) is a well established standard practice of care. We studied the incidence incidence of vaginal delivery after one caesarean, incidence of repeat caesarean, its indications, and factors affecting maternal and fetal outcome.