STUDY OF OUTCOME OF SUBSEQUENT PREGNANCY FOLLOWING PREVIOUS CAESAREAN SECTION

Dr.Ambika S. Dubey; Dr.Aarti Sharma

Volume : VII, Issue : IV, April - 2018

STUDY OF OUTCOME OF SUBSEQUENT PREGNANCY FOLLOWING PREVIOUS CAESAREAN SECTION

Dr. Ambika S. Dubey, Dr. Aarti Sharma

Abstract :

Introduction-The increasing primary caesarean delivery rate in recent decades has led to large numbers of women undergoing one or more repeat caesarean deliveries.Caesarean section should not be always followed by repeat caesarean section but patientsmust have hospital delivery in a well equipped hospital¹⁰.

Methodology- Across sectional analytical study with prospective observations was performed in a total of 97 pregnant female patients, having previous caesarean section delivery,with the gestational age confirmed by ultrasound dating and with a singleton foetus and they were further followed up in postnatal maternity ward, andMaternal outcome was recorded.

Observation –Proportion of repeat CS (83.8%) was significantly higher among the patients with no previous VD in comparison to one VD (60.0%) and two VD (33.3%) (Z=3.77;p<0.0001).

Conclusion –Every case of post-caesarean pregnancy should be labelled as a high risk. One or more vaginal delivery intervene between previous caesarean section and present post-caesarean pregnancy, there is greater chances of vaginal delivery but in no way preclude the risk of scar rupture.