1. A Prospective Clinical Study of Maternal and Foetal Outcome in Previous Caesarean Section

Shweta Chaudhary, Shilpa Tholia, LN Chauhan

ABSTRACT

Background: Caesarean section had a limited place due to inadequate facilities or done only for badly obstructed labour and complicated vaginal deliveries were tried even at the cost of fetal welfare. Aim & objective: The aim of our study to find out the incidence of vaginal birth after previous caesarean section and maternal complication related to previous caesarean section. Material & Methods: The study was undertaken on pregnant women with a previous history of caesarean section either one or more coming for delivery during January 2007 to April 2008. All women booked and emergency cases with previous caesarean section who came in the labour room for delivery were included in the study group. Results: The results show that 23.33% mothers had complications during the postpartum period. The incidence of morbidity was highest (45.7%) among emergency caesarean group and lowest (17.14%) in the elective caesarean group, whereas it was 25.71% in the vaginal delivery group. Conclusion: The procedure is not benign and needs to be performed only when circumstances distinctly required it and increasing maternal age is associated with a higher rate of uterine rupture.

Key-words: Caesarean section, Vaginal delivery, Antenatal, postpartum complication.

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