Humaira Bibi¹*, Naila Nasr Malik², Rubina Qadeer³, Shamim Akhter¹ and Saba Nasir⁴

¹Assistant Professor, Gynae/Obs Department, Kuwait Teaching Hospital, Peshawar Medical College, Riphah International University Pakistan
²Associate Professor, Gynae/Obs Department, Kuwait Teaching Hospital, Peshawar Medical College, Riphah International University Pakistan
³Senior Registrar, Gynae/Obs Department, Kuwait Teaching Hospital, Peshawar Medical College, Riphah International University Pakistan
⁴District Specialist, District Headquarter Hospital, Haripur, Pakistan

*Corresponding Author: Humaira Bibi, Assistant Professor, Gynae/Obs Department, Kuwait Teaching Hospital, Peshawar Medical College, Riphah International University Pakistan.

Received: March 14, 2022; Published: April 07, 2022

Abstract

High rates of c section increases not only maternal and perinatal morbidity and mortality but also increased burden on already overcrowded hospitals. VBAC not only reduces rates of cesarean sections and maternal morbidity but the hospital load of patients is also lessened.

Aim: To compare the labour outcomes of short vs long interpregnancy intervals in women with previous cesarean section.

Methods: It was a prospective Cross-sectional study conducted in Kuwait teaching and Mercy teaching hospitals of Peshawar from June 2020 to June 2021. Patient`s data were collected from patient`s record register. Patients who had lower segment cesarean section previously and singleton pregnancy with a cephalic presentation in present pregnancy were included in the study. Patients who had previous two or more cesarean sections, multiple gestations, Malpresentation in this pregnancy, and previous upper segment cesarean section were excluded from the study. Outcomes including vaginal delivery, cesarean section, postpartum hemorrhage, scar dehiscence, low Apgar score < 7 in five minutes, and NICU admission were recorded. The percentages and frequencies were calculated for categorical variables while mean and standard deviation were calculated for numerical variables. Student’s t test was applied to find out p value.

Results: Patients were divided in two groups with group 1 with interval less than 18 months and second group more than 18 months duration. There were no statistical difference of VBAC, Emergency repeat Cesarean section, PPH and scar dehiscence in both groups (p value 0.26, 0.21, 0.18, 0.19) respectively while NICU admissions is high in short interpregnancy interval p-value 0.05.

Conclusion: There is no difference of VBAC success and emergency Cesarean section rate, PPH and scar dehiscence on interpregnancy interval in women with previous one Cesarean section but low APGAR score and NICU admission of neonates is high in women with short interpregnancy interval than long interpregnancy interval in women with previous one Cesarean.

Keywords: Interpregnancy; Cesarean Section; VBAC

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Citation

Citation: Humaira Bibi., et al. “Interpregnancy Interval and Labour Outcomes After Previous One Cesarean Section". Acta Scientific Women's Health 4.5 (2022): 02-06.

Copyright

Copyright: © 2022 Humaira Bibi., 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.