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

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.