Comparative study of maternal and fetal outcome in patients with Vaginal Birth after caesarean section and elective repeat caesarean section

Abstract

Women after delivering her first baby by caesarean section have a choice about mode of delivery for her second baby. The study was planned to compare maternal and perinatal outcome between VBAC and repeat elective LSCS in patients with prior one LSCS and their complications. A prospective observational study was carried out in department of obstetrics and gynaecology. Total 180 cases of previous LSCS who were eligible for vaginal delivery were recruited 90 in each group as per consent given by them. Group 1: Vaginal Birth after caesarean section; Group 2: elective repeat caesarean section. It was observed that majority of the patients group 1 (51.1%) and group 2 (47.8%) were in age group of 25 to 30 years. More than 25kg/m2 BMI was found in 18 (20%) cases of VBAC group and 30 (33.3%) cases of LSCS group. Inter pregnancy interval was significantly lower in LSCS group compared to VBAC group. Mean birth weight was 2.832 kg to 2.917kg in both group. However with improved maternal care, close fetal monitoring and institutional delivery for a previous one caesarean section, VBAC is considered safer than repeat elective caesarean section in carefully selected patient.