DOI: 10.36347/sjams.2019.v07i12.067

Pages: 4174-4178

Introduction: The rate of primary cesarean section (CS) is on the rise. More women report a history of a previous CS. A trial of vaginal delivery can save these women from the risk of repeat CS. Vaginal birth after cesarean section (VBAC) is one of the strategies developed to control the rising rate of cesarean sections. With present techniques and skills, the incidence of cesarean scar rupture in subsequent pregnancies is very low. This study aimed to assess the outcome of VBAC after a previous one cesarean section. Methodology: This prospective observational study was conducted at the Department of Obstetrics & Gynecology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh. The study was carried out from March 2011 to March 2012. A total of 100 patients who were admitted in the hospital were selected as study subjects as per inclusion criteria. Evaluation of all patients was done by medical history and physical examination. A purposive convenient sampling technique was applied for the study. Necessary data were collected by using pre-formed structured questionnaire. Informed written consent was obtained from all study subjects. Perioperative outcomes were noted routinely. All data were kept confidential and used only for this study purpose. Ethical clearance was obtained from the hospital. Descriptive statistical analysis was performed by using Statistical Packages for Social Sciences (SPSS-25) software. Results: Most of the patients (40, 40.0%) belonged to the 26-31 years age group, followed by (35, 35.0%) >31 years of age group, and the rest (25, 25.0%) belonged to the 21-25 years of age group. In this study, 65.0% of patients showed successful VBAC, 24.0% of patients underwent elective repeat C/S, and 11.0% had failed VBAC. Indications of repeat C/S were non-availability of operative note (10, 10.0%), followed by big baby (06, 6.0%), previous uterine incision extension (02, 2.0%), malpresentation (04, 4.0%), on patient request (02, 2.0%). ..