Fetomaternal Outcome of Vaginal Birth after Previous 1 Cesarean Section Presenting at Ayub Teaching Hospital
DOI:
https://doi.org/10.70749/ijbr.v3i6.3031Keywords:
Caesarean Section, Maternal Outcome, Neonatal Intensive Care, Postpartum Haemorrhage, Vaginal BirthAbstract
Background: Vaginal birth after previous one caesarean section is an important option for delivery and it help to reduce repeated surgery but still some risks present for mothers and baby. Local data about fetomaternal outcomes is limited in this area. Objective: To determine fetomaternal outcome in women undergoing vaginal birth after previous one caesarean section. Study Design: Descriptive study. Duration and Place of Study: This study was done from 15 January 2025 to 15 May 2025 in Department of Obstetrics and Gynaecology Ayub Teaching Hospital Abbottabad. Methodology: Total 164 patients with age 18–40 years included. Trial of labour was allowed under supervision. Data was analysed by using SPSS version 20. Mean and standard deviation was calculated for numerical variables and frequency with percentage for categorical variables. Results: Mean age was 29.38±5.99 years. Majority patients were rural 86(52.4%) and middle socioeconomic group 84(51.2%). Regular antenatal care was present in 84(51.2%) patients. Neonatal intensive care admission was seen in 26(15.9%) patients while 138(84.1%) not required admission. Postpartum haemorrhage was observed in 9(5.5%) patients. Significant association was found between age and postpartum haemorrhage where age >30 years had higher frequency 7(10.4%) as compared to ≤30 years 2(2.1%) (p=0.033). Conclusion: Vaginal birth after previous one caesarean section is safe option in selected patients but some risk of neonatal admission and postpartum haemorrhage still present
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