Mode of delivery after Lower Segment Cesarean Section

Amina Rahman; Fatima Rahman; Rubi Zubair; Sana

doi:10.70749/ijbr.v3i3.2578

Authors

Amina Rahman Department of Obstetrics and Gynaecology, Mardan Medical Complex, Mardan, Pakistan
Fatima Rahman Department of Obstetrics and Gynaecology, Mardan Medical Complex, Mardan, Pakistan
Rubi Zubair Department of Obstetrics and Gynaecology, Mardan Medical Complex, Mardan, Pakistan
Sana Department of Obstetrics and Gynaecology, Mardan Medical Complex, Mardan, Pakistan

DOI:

https://doi.org/10.70749/ijbr.v3i3.2578

Keywords:

Measles pneumonia, disease’s duration, conventional treatment with zinc supplement.

Abstract

Background: Lower segment cesarean section is a common method of childbirth and its impact on future mode of delivery remains important for both mothers and clinicians. In the next pregnancy, the main choice is between repeat cesarean section and vaginal birth after cesarean. The decision depends on the healing of the previous uterine scar, maternal health, and hospital readiness for emergencies. Objective: To determine the frequency of mode of delivery in women with history of previous lower segment cesarean section. Study Design: Cross sectional study. Duration and Place of Study: The study was carried out from June 2024 to November 2024 in the Department of Obstetrics and Gynaecology, Mardan Medical Complex, Mardan, Pakistan. Methodology: A total of 169 women aged 20 to 35 years with one previous lower segment cesarean section and singleton term pregnancy were included. Data were collected on demographic and obstetric factors. Mode of delivery was recorded as elective cesarean section, successful vaginal birth after cesarean, or failed vaginal birth after cesarean. Results: The mean age was 28.40 years and mean gestational age was 39.05 weeks. Elective cesarean was performed in 39.60 percent of women. Vaginal birth after cesarean succeeded in 36.70 percent, while 23.70 percent failed and required emergency cesarean section. Conclusion: Mode of delivery after previous cesarean remains challenging. Success of vaginal birth after cesarean is moderate and depends on careful selection, proper monitoring, and institutional preparedness.

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