Vaginal birth after multiple caesarean section: a case report from India
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20231255Keywords:
Multiple caesarean section, VBAC, Trial of labor, IndiaAbstract
Lower segment caesarean sections increase the possibility of maternal morbidity. Hence, since last few decades, initiative for trial of labor after caesarean delivery is being encouraged in selected cases. Accordingly, a 23-year-old fifth gravida, who had a history of previous three lower segment caesarean sections and one vaginal birth approached for delivery service and plan for her vaginal delivery was made after thorough examination and evaluation. A live female child of 3100 grams was delivered following episiotomy. In post-partum period, it was observed that uterus was involuted on abdominal examination and uterine contours were regular in ultrasonography. As the evidences for practice of vaginal delivery in women who underwent 2 or more previous LSCS are still fewer, this report intends to highlight the possibility of successful vaginal birth after multiple caesarean sections.
Metrics
References
Craigin EB. Conservatism in obstetrics. N Y Med J. 1916;104:1-3.
Miller AD, Diaz FG, Paul RH. Vaginal birth after caesarean: a 10 year experience. Obstet Gynecol. 1994;84:255-8.
Rageth JC, Juzi C, Grossenbacher H. Delivery after previous caesarean: a risk evaluation. Swiss Working Group of Obstetric and Gynecologic Institutions. Obstet Gynecol. 1999;93:332-7.
Rosen MG, Dickinson JC, Westhoff CL. Vaginal birth after caesarean: a meta-analysis of morbidity and mortality. Obstet Gynecol. 1991;77:465-70.
Prabha S, Naralkar M, Prema. Outcome of post caesarean pregnancy in a tertiary care centre in south India. The New Indian Journal of OBGYN. 2020;7(1):31-5.
Chhabra S, Arora G. Delivery in women with one previous caesarean section. J Obstet Gynecol India. 2006;56(4):304-7.
Vardhan S, Behera RC, Sandhu GS, Singh A, Bandhu HC. Vaginal birth after caesarean delivery. J Obstet Gynecol India. 2006;56(4):320-3.
Dhall K, Mittal SC, Grover V, Dhall SI. Childbirth following primary caesarean section-evaluation of a scoring system. Int J Gynecol Obstet. 1987;25:199-201.
Poddar S. A study of the outcome of subsequent pregnancy following previous caesarean section. Journal of Evolution of Medical and Dental Sciences. 2014;3(6).
Landon MB, Hauth JC, Leveno KJ. Maternal and perinatal outcomes associated with a trial of labor after prior caesarean delivery. N Engl J Med. 2004;351:2581-9.
Zwergel C, von Kaisenberg CS. Maternal and Fetal Risks in Higher Multple Caesarean Deliveries. EBook published in 2019.
Dhillon BS, Chandhiok N, Bharti S, Bhatia P, Coyaji KJ, Das MC, et al. Vaginal birth after caesarean section (VBAC) versus emergency repeat caesarean section at teaching hospitals in India: an ICMR task force study. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2014;3(3):592-7.
Rosen MG, Dickinson JC, Westhoff CL. Vaginal birth after caesarean: a meta-analysis of morbidity and mortality. Obstet Gynecol. 1991;77:465-70.
McMahon MJ, Luther ER, Bowes WA, Olshen AF. Comparison of a trail of labor with an elective second caesarean section. N Engl J Med. 1996;335:689-95.
Cahill AG, Tuuli M, Odibo AO, Stamilio DM, Macones GA. Vaginal birth after caesarean for women with three or more prior caesareans: assessing safety and success. BJOG: International Journal of Obstetrics and Gynacology; 2010.
Modzelewski J, Jakubiak M, Materny A, Sotniczuk M, Kajdy A, Rabijewski M. Safety and success rate of vaginal birth after two caesarean sections: retrospective cohort study. Ginekologia Polska. 2019;90(8):444–51.
Macones GA, Cahill A, Pare E, Stamilio DM, Ratcliffe S, Stevens E, et al. Obstetric outcomes in women with two prior caesarean deliveries: is vaginal birth after caesarean delivery a viable option? Am J Obstet Gynecol. 2005;192(4):1223–8.
Tahseen S, Griffiths M. Vaginal birth after two caesarean sections (VBAC-2)-a systematic review with meta-analysis of success rate and adverse outcomes of VBAC-2 versus VBAC-1 and repeat (third) caesarean sections. BJOG. 2010;117(1):5–19.
Spaans WA, Laura ME, Vliet VD, Elisabeth AM, Röell-Schorer, Bleker OP, et al. Trial of labour after two or three previous caesarean sections. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2003;110(1):16–9.
Tahseen S, Griffiths M. Vaginal birth after two caesarean sections (VBAC-2)—a systematic review with meta-analysis of success rate and adverse outcomes of VBAC-2 versus VBAC-1 and repeat (third) caesarean sections. BJOG. 2010;117:5–19.
Downloads
Published
How to Cite
Issue
Section
