To study Maternal and Perinatal outcome of Vaginal birth after cesarean (VBAC)

Abstract

Introduction- The incidence of cesarean deliveries is elevated in numerous regions globally. Vaginal birth after cesarean section (VBAC) refers to an attempt at vaginal delivery in specific situations of prior cesarean delivery within a properly prepared medical facility. It provides specific benefits compared to a repeat cesarean section. The aim of present research is to study maternal and perinatal outcome of vaginal birth after cesarean (VBAC). Material and methods- The prospective interventional study was conducted among 60 pregnant women with previous cesarean section at department of obstetrics and gynecology, GMC, Jammu during the study period of one year. All the maternal and neonatal outcome were evaluated and analysis was done by using SPSS version 25.0 Results- Out of 60 patients 85% (51) had vaginal delivery and rest 15% (9) went through emergency c-section. Maximum patients were in the age group of 25-29 years 27 (45%) and least were in the age of 19 years 2 (3.3%).Majority 42 (70%) cases were second gravida, 15 (25%) were third gravida and 9 (15 %) were gravida >3. Indication of performing emergency C-section were signs of scar dehiscence & imminent scar rupture like tachycardia, BPV etc. was 2 (22.2%) and prolonged labor in 3 (33.3%) patients respectively, fetal distress in 3 (33.3%) and cord prolapsed in 1 (11.1%) patients. The duration of hospital stay associated with successful vaginal delivery was less (2.5 days) as compared to the emergency c-section (7.1 days). There were more maternal and perinatal morbidity in cases with emergency c-section as compared two VBAC group. Conclusion – In meticulously chosen patients and appropriate conditions, VBAC can be safely implemented, thus reducing the increasing prevalence of cesarean sections.