Study of spontaneous and induced vaginal birth after caesarian delivery

Abstract

Introduction: In the present study, we assessed the safety and efficacy of PGE? gel for labour induction and augmentation by Oxytocin injection in women attempting VBAC after caesarean section and thus reducing the rate of c-section in patients having previus c-section for non-recurring cause. Aims and Objectives: We aimed at to evaluating the safety and efficacy of prostaglandin (PGE?) gel for induction of labour in previous c-section delivery and correlate Bishop’s Score with pregnancy outcome in women attempting VBAC. Materials and Methods: This is a prospective study of women admitted in Rajkiya Mahila Chikitsalya, Ajmer over a period of one year from July 2011 to June 2012 with singleton live pregnancy of >34 weeks of gestational age with previous one caesarean delivery and willing for VBAC. Result: Success rate of VBAC was more in induced than spontaneous group (57.33% to 50.0%), and in patients with previous vaginal delivery after caesarean sectioned patients who were having Bishop’s score >6. Rate of uterine rupture in induced group was more than spontaneous group but it was statistically insignificant. Admission in NICU was more in spontaneous group while APGAR score Conclusions: In spontaneous and induced group there was no significant difference in distribution of group according to ANC visit, age, parity, gestational age, rate of uterine rupture, rate of uterine dehiscence, still birth, APGAR score Keywords: VBAC, C- section, Apgar score, PGE?, Bishop’s score.