Nowadays because of liberalisation of cesarean section main focus is towards trail of labour after cesarean delivery. Earlier dictum once a cesarean always a cesarean has changed nowadays, but trail for cesarean depends on certain factors like type of previous Incision, indication for previous LSCS, patients consent and resources available. Our study is meant to study vaginal birth after cesarean delivery at a tertiary hospital.
Methodology: It was a prospective study done at a tertiary hospital over a Period of one year. 300 patients were included in this study. Inclusion criteria for repeat LSCS; patients with previous classical or inverted T shaped incision, contracted LSCS, previous history of rupture of uterus, Patient not giving consent for VBAC, medical or obstetric factors complicating Pregnancy. N Inclusion criteria for VBAC; Patients with singleton pregnancy with vertex presentation previous lower segment transverse incision Patient consent for VBAC.
Results: Out of 300 patients, 50 patients underwent repeat LSCS. Remaining 250 we're selected for VBAC. Prevelance of VBAC in our study was 40%maternal morbidity postpartal hemorrhage, uterine rupture, sepsis, Scar dehiscence was more in those who underwent LSCS after failed trail. NICU admission was more in failed trail group than in VBAC group.
Conclusion: Trail of labour after cesarean needs to be liberalised to decrease the burden of cesarean deliveries.