DOI: 10.36347/sjams.2020.v08i04.004

Pages: 1078-1081

Introduction: The caesarean section rate has increased to an alarming extent in the last three decades all over the world. In USA it was 5% in 1970 to 31% currently. Vaginal birth after previous caesarean delivery represents one of the most significant changes in obstetric practice. Objective: The objective of this study is to determine the frequency and mode of delivery in women with one caesarean section and to evaluate the feto-maternal outcome of trial of labour of previous one caesarean section. Methodology and Materials: This was a prospective study which was carried out in the department of Obstetrics and Gynecology of Sher-E-Bangla medical college and Hospital, Barisal from 1stAuguts 2007 to 31st July 2008. A total of 116 women with a history of caesarean section were delivered in the maternity unit II. Among them 50 cases were selected for trial of labour. Selection criteria were subjects with uneventful pregnancy, adequate maternal pelvic dimensions, vertex presentation and spontaneous onset of labour with previous one uncomplicated LSCS. Patients with classical caesarean section, medical complications, multiple pregnancy, IUGR placenta praevia were excluded from the study. Informed consent was taken from all patients. Maternal and fetal monitoring as carried out with facility of operation theatre, anesthesia and pediatrician. Results: Successful vaginal delivery was achieved in 44% assisted or UN assisted and repeat emergency caesarean section was carried out in 56% of the patient. Leading indication for repeat caesarean section was failure to progress, fetal distress and scar tenderness. No maternal death and one perinatal death occur. Conclusion: We conclude form this study that antenatal booking and follow up, careful case selection for trial of labour will achieve successful maternal and perinatal out come and this is an important component of efforts to lower the rate of repeat caesarean birth.