COVID-19 Update - This is to inform you that the Government of India has announced a complete lockdown in India 22nd March 2020 to 14th April 2020. As a result, our offices will now be closed till 14th April 2020 and all our employees will be working from home. Office telephones will not be answered, and therefore you are requested to direct all your queries related to manuscript submission, review process, publication etc. at below mentioned details. editor@innovativepublication.com, rakesh.its@gmail.com, Mob. 8826373757, 8826859373, 9910947804

Article view: 302

Article download: 138

Indian Journal of Obstetrics and Gynecology Research


A study of the determinants of success of trial of labour after cesarean (TOLAC) in a tertiary centre of Haryana


Full Text PDF Share on Facebook Share on Twitter


Research Article

Author Details : Pinkey Lakra*, Sunita Siwach, Vijyata Sangwan, Shivani , Manisha

Volume : 6, Issue : 3, Year : 2019

Article Page : 298-301


Suggest article by email


Abstract

Introduction: Cesarean section rate has been on a continuous rise since 1970. When trial of scar is
done, 30- 80% of women with one previous lower segment caesarean section can achieve vaginal delivery.
Identification of the determinants of the success of TOLAC help in selecting the patients with favorable
factors and hence improving the success rate of TOLAC with minimum possible complications.
Materials and Methods: This study was planned from January 2015 to December 2015. Case files of
previous one cesarean pregnancies were reviewed retrospectively in two groups: VBAC group and RCS
group.
Results: There were 9.8% (N-488) previous one cesarean pregnancies out of which 67% (327) underwent
TOLAC. VBAC happened in 71.56% and RCS in 28.44%. Malpresentation, fetal distress, CPD and Failed
induction were the indications of primary cesarean which had significantly more number of VBAC as
compared to RCS (p value <0> the spontaneous onset of labour was compared to induced labour. The mean admission bishops score of
VBAC group was 6.952.72 and that of RCS group was 3.87 2.54 (p value- 0.000). Also the mean birth
weight of the VBAC group was 2.660.53 and that of RCS group was 2.800.47 (p value- 0.027).
Conclusion: Malpresentation, fetal distress, CPD and failed induction are the most important indications
of primary cesarean section which have better chances of VBAC. Spontaneous onset of labour, admission
bishops score and birth weight has significant affecton the outcome of TOLAC.

Keywords: Trial of labour after cesarean (TOLAC), Vaginal birth after cesarean (VBAC), Repeat cesarean section (RCS), Previous one cesarean section, Determinants of success of TOLAC, Trial of labour after cesarean (TOLAC), Vaginal birth after cesarean (VBAC), Repeat cesarean section (RCS), Previous one cesarean section, Determinants of success of TOLAC.

Doi : 10.18231/j.ijogr.2019.067

How to cite : Lakra P, Siwach S, Sangwan V, Shivani, Manisha, A study of the determinants of success of trial of labour after cesarean (TOLAC) in a tertiary centre of Haryana. Indian J Obstet Gynecol Res 2019;6(3):298-301

Copyright © 2019 by author(s) and Indian J Obstet Gynecol Res. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) (creativecommons.org)