Evaluation of pregnant women with scarred uterus in a low resource setting
| Autor: | Poonam Chowdhary, Aarti Srivastava, Anjoo Agarwal, Vinita Das, Meenakshi T. Sahu, Amita Pandey |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
medicine.medical_specialty
Population India Maternal morbidity Obstetrics and gynaecology Pregnancy medicine Humans Cesarean Section Repeat education Gynecology education.field_of_study business.industry Vaginal delivery Perinatal mortality Obstetrics Infant Newborn Pregnancy Outcome Obstetrics and Gynecology medicine.disease Vaginal Birth after Cesarean Trial of Labor Clinical research Female Observational study business |
| Zdroj: | Journal of Obstetrics and Gynaecology Research. 33:651-654 |
| ISSN: | 1447-0756 1341-8076 |
| DOI: | 10.1111/j.1447-0756.2007.00627.x |
| Popis: | Management of post cesarean pregnancy continues to be a dilemma. The present study was undertaken to evaluate the outcome of such pregnancies in a resource constrained setting so that an appropriate management protocol can be decided. An observational study was conducted in the Department Of Obstetrics And Gynecology King Georges Medical University Lucknow India. The outcome of all of the women admitted with pregnancy with a previous cesarean section was noted. A total number of 447 women with a post cesarean pregnancy underwent delivery. These comprised 13.7% of total deliveries over the same period. 124 women (27.7%) had successful vaginal delivery while 323 (72.3%) had a repeat cesarean section. Maternal morbidity and perinatal mortality were both significantly higher in the vaginal delivery group (P = 0.00211 and P = 0.0426 respectively). Vaginal birth after cesarean (VBAC) is associated with higher maternal morbidity and perinatal mortality. Therefore the decision for VBAC must be taken only after proper consideration and counseling of the couple. (authors) |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text