Ratna A Khatri*, Arju Chand, Sumana Thapa and Shailaza Khadka
Obstetrician and Gynaecologist, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal
*Corresponding Author: Ratna A Khatri, Obstetrician and Gynaecologist, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal.
Received: August 04, 2020; Published: October 28, 2020
Background: The rate of primary caesarean section (CS) is on the rising trend. Vaginal birth after CS (VBAC) can be an alternative to reduce this rate of CS worldwide. Antenatal examination and intrapartum monitoring are the most important factors for VBAC.
Aims: The aim of this study is to determine the prevalence of VBAC at SBH in selected cases. To analyze the maternal and fetal outcome of VBAC and repeat CS cases.
Methodology: It is a cross-sectional institute-based study carried out in Shree Birendra hospital, a tertiary level Nepalese Army Hospital, from March 2019 to March 2020. The study population included cases with one previous caesarean section fulfilling the inclusion criteria of Royal College of Obstetrician and Gynaecology (RCOG) for VBAC. After counseling for VBAC, the data were estimated of those who were willing for VBAC and those who refused. Trial of labor was given to the patients accepted for VBAC. Feto-maternal outcome were analyzed of VBAC and of repeat CS.
Results: There were total of 108 cases of previous LSCS reported at ANC OPD, among them 23 cases were excluded from the study as they were not meeting the RCOG inclusion criteria, 85 cases were enrolled in the study. Out of 85 cases, 75 (88.23%) refused to undergo VBAC, only 10 cases (11.76%) accepted to undergo trial of labor. Out of 10 cases, 5 (50%) had successful VBAC. The sample size was too small to come to any conclusion, still it is observed that women who had an emergency cesarean section in their first delivery had lower VBAC success particularly those with failed induction. No maternal and neonatal mortality observed.
Conclusion: Vaginal Birth after Caesarean section is relatively safe, provided it is conducted in carefully selected cases and under constant supervision. Spontaneous onset of labor, good Bishop score and average sized baby were good predictors of successful VBAC.
Keywords: VBAC; Antenatal; Intrapartum; Bishop Score; SBH; ANC
Citation: Ratna A Khatri., et al. “Vaginal Birth After Caesarean Section - Experience in Shree Birendra Hospital".Acta Scientific Nutritional Health 4.11 (2020): 57-65.
Copyright: © 2020 Ratna A Khatri., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.