Aisha Taj, Salma Batool Naqvi, Tahira Yasmeen.
Vaginal birth after caesarean section at liaquat national hospital.
Pak J Surg Jan ;28(1):81-4.

Objective: The objective of this study was to evaluate the safety and success of vaginal birth aft er caesarean section. Design: cross sectional study. Place of study: Th is study was conducted in the department of Obstetrics and gynaecology of Liaquat national hospital. Duration of study: 2008-2010. Patients and methods: 123 women meeting the inclusion criteria were included in the study. Patients were monitored during labour for tachycardia, scar tenderness; vaginal bleeding. Fetal monitoring was done by CTG. Progress of labour was monitored by partograph. Results: 123 women with previous one caesarean section underwent trial of labour, 86(70%) women had successful vaginal birth aft er caesarean section, and 37 (30%) women had repeat emergency caesarean section. Scar dehiscence was suspected in 4 (11%) women; on caesarean section scar dehiscence was confi rmed in 3 women. None of the women died or underwent hysterectomy. No perinatal mortality occurred. Conclusion: Th ere is emerging evidence of serious harms relating to multiple caesarean section.VBAC is a reasonable and safe choice for the majority of women with prior cesarean delivery.

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