A Retrospective Analysis of Annual Cesarean Section Rate in a Tertiary Care Hospital, KOTA

Bala, Suman

doi:10.18535/jmscr/v5i7.168

Cited by 1 publication

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“…6 This rising incidence of LSCS worldwide is a big concern today in obstetrics. 7 This is mainly due to cases of breech presentation and of previous LSCS needing a repeat LSCS. 8 The number of women opting for VBAC have decreased and importantly it has been shown to be due to a change in the doctor and patient perception of the dangers involved in a VBAC rather than a change in the characteristics in the clinical profile of the patient.…”

Section: Discussionmentioning

confidence: 99%

Study of the causes of non-acceptance of VBAC in patients with previous one LSCS in a tertiary institution

Karmali

Pednekar

Nagarsenkar

2018

Int J Reprod Contracept Obstet Gynecol

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Background: Many women who are eligible candidates for a VBAC (Vaginal Birth after Caesarean) in the current pregnancy opt for a repeat LSCS (Lower Segment Caesarean Section) as a mode of delivery. We decided to evaluate the proportion of patients who opt out of a VBAC and to study the causality of this trend.Methods: All patients who presented to the Dept. of OBG in our institution and were eligible to have a VBAC were included in the study till the sample size of 100 cases was met. Consultant opinion was sought prior to deciding the mode of delivery.Results: Incidence of patients of previous one LSCS who were not willing for VBAC was 4%, out of total number of deliveries and 30.7%, out of all cases of patients with previous one LSCS. The reason for not opting for a VBAC in the current pregnancy in the majority of the eligible patients was the desire for a concurrent sterilization procedure. Others cited apprehension of a scar rupture or fear of labor pain or both as their primary reason for opting out of a VBAC.Conclusions: The high incidence of ERC (Elective Repeat Caesarean) as compared to TOLAC (Trial of Labour after Caesarean) has long-term clinical and financial implications. Counseling given to the pregnant woman with an emphasis on the advantages of VBAC in order that she opts for a VBAC with confidence and enthusiasm is the only way forward.

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Section: Discussionmentioning

confidence: 99%