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International Journal of Clinical Obstetrics and Gynaecology

International Journal of Clinical Obstetrics and Gynaecology

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Print ISSN: 2522-6614, Online ISSN: 2522-6622

International Journal of Clinical Obstetrics and Gynaecology

2021, Vol. 5, Issue 4, Part A

Vaginal delivery following cesarean section in a rural teaching hospital
Author(s): Dr. Ramya R, Dr. M Narayanaswamy and Dr. Jhansi L
Abstract: 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.
Pages: 07-08 | 109 Views | 46 Downloads
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How to cite this article:
Dr. Ramya R, Dr. M Narayanaswamy, Dr. Jhansi L. Vaginal delivery following cesarean section in a rural teaching hospital. Int J Clin Obstet Gynaecol 2021;5(4):07-08. DOI: 10.33545/gynae.2021.v5.i4a.956
International Journal of Clinical Obstetrics and Gynaecology