Cesarean section rates at present am very high worldwide WHO States that no region in the world is justified in having the cesarean rate greater than 10 to 15%. The most important complication in women trying vaginal delivery following cesarean section is rupture uterus, vaginal trial should be an option for all fit candidates.
Objective: To know the prevalence of vaginal delivery following cesarean section
To know the success and safety of vaginal delivery following cesarean section
Study design: Retrospective study
Duration of study: From 1st Jan 2011 - 31st Dec 2011
Place of study: R L Jalappa Hospital and Research Center, Kolar
Materials and Methods: During the above study period there were 2308 deliveries. Cesarean sections were 1021(44.23%), out of which 352(34.5%) were repeat cesarean sections. There were 45 (12. 9%) women who delivered vaginally following previous cesarean section. Among 45 vaginal deliveries 34(76.6%) were graysda2. Majority (73.3%) of the women were between 38-42 weeks gestation. Labor was induced in 2 women both following Premature rupture of membranes one at 37 weeks and another at 32 weeks gestation. Labor was augmented in 10(22%) patients. Anemia was present in 6 women. There were 4 women with premature rupture of membranes. Outlet forceps was used in 3 deliveries. Majority (51%) of babies weighed between 2.5 to 2.99 kgs.
Conclusion: Rates of Vaginal birth following previous section are very low (12 9%) Allowing women for vaginal trial following previous cesarean section in selected patients can reduce elective repeat cesarean rates.