Planned elective repeat caesarean section versus planned vaginal birth for women with a previous caesarean birth

Dodd, Jodie M; Crowther, CA; Huertas, Erasmo

doi:10.1002/14651858.cd004224

Cited by 65 publications

(91 citation statements)

References 11 publications

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“…Contrary to it more than 60 percent of the women underwent successful VBAC . Similar results were obtained by other workers [10,12,14,15,16] .Our study further strengthen the observations made by previous studies that the success of VBAC is more in cases where an emergency LSCS was performed in the previous pregnancy. So, we recommend that a fair trial of VBAC should be given in all the patients with a single previous LSCS.…”

Section: Discussionsupporting

confidence: 93%

“…In primary health centers there may not be facilities available for fetal monitoring or anesthesia and there is lack of trained personnel. A recent Cochrane Review found that both VBAC and lower segment ceserian section (LSCS) section have benefits and risks associated with them; however, after reviewing the limited data, they concluded that no trial exists to adequately help women and their caregivers to make an informed decision between the two [12] The data on the success and failure of the VBAC in the Indian subcontinent is inadequate. There are limited number of studies available addressing the risk and benefits of VABC.…”

Section: Introductionmentioning

confidence: 99%

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Maternal and Fetal Outcome of VBAC after First Previous LSCS in A Tertiary Care Teaching Hospital of Western India

2017

Int. J. Curr. Res. Med. Sci.

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Introduction -Making a decision about mode of delivery in the second pregnancy after a previous caesarian section is a dilemma faced by both patient and obstetrician. Contradictory evidences and the fear of medico legal litigation remains a major concern while making a decision about Vaginal Birth After previous Cesarean section. In the present study we gave a trial of VBAC to carefully selected patient reporting to our tertiary care government hospital and analyzed the maternal and fetal outcome of the VBAC. Material and Methods -The present study was conducted in the department of Obstetrics and Gynecology Government Medical College Miraj in the state of Maharashtra of India. Total 260 pateints having history of previous LSCS and selected by applying approved inclusion and exclusion criteria were enrolled in the study for trial of VBAC. The various variables like indication of previous LSCS, maternal complication of the VBAC, fetal outcome and duration of the hospital stay ware analyzed. Results -Total 260 patients were enrolled in the study, of these only 12 % required a repeat emergency caesarian section. The rate of success of VBAC was 100 % and 88.3 % in age group of 18 to 20 years and 20-25 years respectively. Success of VABC was more in the non-recurring causes of the previous LSCS. Baby weight less than 3.5 kg proved to be a favoring factor for success of VBAC. Scar dehiscence (40%) and failure to progress (40%) were the major indication for repeat ERCS. Average stay in the hospital after VBAC was 2 days while for the ERCS it was 5 days approximately. Conclusion -Careful selection and cautious trial of VBAC is successful in about 88 percent of the pregnant women participants of our study. We further proved that in the cases of non-recurrent causes of pervious LSCS, a fair trial of VBAC can be given. VBAC decreases the hospital stay and decreases the perinatal morbidity and mortality

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Maternal and Fetal Outcome of VBAC after First Previous LSCS in A Tertiary Care Teaching Hospital of Western India

2017

Int. J. Curr. Res. Med. Sci.

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“…Kamath et al in a study of 672 women with one prior CS, reported that neonates born by CS had more NICU admissions compared to VBAC group (p=0.025). 14 In was observed that infection (4%) at the time of previous CS have decreased rate of VBAC in subsequent trial of labour which is consistent with the study by Dodd et al 15 The present study had limitation of being small in sample size; a large randomized trial is required to confirm the present study findings.…”

Section: 13supporting

confidence: 90%

Study of Factors Associated with Success of Vaginal Birth after Previous One Caesarean Section

Bindal¹

2018

jmscr

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“…Vaginal breech delivery can be a safe option which can lead to positive maternal and neonatal outcome if the criteria is met before and during labour 14 . A study comparing planned vaginal delivery versus elective caesarean section in singleton term breech presentation in Lyon found out that there was increased risk of neonatal deaths and complications in planned vaginal delivery while elective caesarean section increased the possibility of only minor maternal complications 15 .…”

Section: Assisted Vaginal Deliverymentioning

confidence: 99%

Untitled

2016

IJPSR

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Introduction: Utilization of skilled health care is effective in reduction of maternal and newborn morbidity and mortality. Sufficiently trained health workers can competently handle and manage obstetric complications. Health workers, despite having undergone a formal training, require regular refreshers to keep up to date with new, evidence-based information. Methods: This is an evaluation report following Emergency Obstetrics and Neonatal Care skills -based training by Maternal and Infant Survival and Healthcare Advancement (MAISHA), a project by Dedan Kimathi University of Technology and College of The Rockies, Canada in collaboration with Liverpool School of Tropical Medicine and the Ministry of Health among health care workers in Migori and Nyeri Counties' health facilities. Knowledge and skills pre-test was done before the training and a similar post-test was administered after the training to assess the level of knowledge and skills of each participant. Follow up was done to the trained participants four months after the training to assess the level of retention of the skills. Findings: The pre-test findings indicated that the health workers were equipped with theoretical knowledge, however the hands on skills were lacking in common procedures such as maternal and newborn resuscitation, breech delivery and use of a partograph in labour. After the training, knowledge was improved and skills were gained, however, follow up supervisory visits indicated need for a refresher training on the skills. Conclusion: A single training appears to be inadequate therefore more frequent skills-based trainings should be organized among health care workers in basic emergency obstetric care facilities.

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Planned elective repeat caesarean section versus planned vaginal birth for women with a previous caesarean birth

Cited by 65 publications

References 11 publications

Maternal and Fetal Outcome of VBAC after First Previous LSCS in A Tertiary Care Teaching Hospital of Western India

Maternal and Fetal Outcome of VBAC after First Previous LSCS in A Tertiary Care Teaching Hospital of Western India

Study of Factors Associated with Success of Vaginal Birth after Previous One Caesarean Section

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