Normal Vaginal Delivery after One Lower Segment Caesarean Section can be Safe Option for Many Women but not Right Choice for All

Abstract

Introduction:  Caesarean section, one of the most fre-quently performed surgical procedures on women is rising globally. Vaginal birth after one caesarean sec-tion should be encouraged in most women who are willing to attempt it, provided no contraindication exists.The policy of "once a caesarean section always a caesarean section" must be abandoned and replaced by once a caesarean section always a hospital delivery.

Objectives:   i: To assess the rate of vaginal birth after one lower segment caesarean.  ii; To find out various complications encountered during vaginal birth after caesarian section.

Study design:  Case series descriptive study.

Setting:  This study was conducted in Obstetrics and gynecology unit of Fatima memorial hospital Lahore. In this study a trial of vaginal delivery was conducted on 101 patients with previous one caesarian section. Both booked and emergency patients were included in the study. These cases were selected and managed according to set protocols.

Duration of study:  One year.

Subjects and Methods:  This descriptive study was conducted in Fatima memorial hospital Lahore over a period of one year. 101 patients with previous one cae-sarean section were selected and trial of normal vagi-nal delivery was carried out.

Results:  One hundred one patients, both booked and unbooked, with previous one caesarean section were selected for the trial of normal vaginal delivery and rate of successful vaginal delivery was 74.3%. The rate of repeat caesarean section was 25.7%.

Conclusion:  A trial of labour after one caesarean section should be encouraged in most women who are willing to attempt it, provided no contraindication exists. As benefit outweigh the risks and are more eco-nomical for the patient.