A PROSPECTIVE STUDY ON THE MATERNAL OUTCOME IN CASES OF PREVIOUS ONE CESAREAN SECTION

Background and Objectives:Women with previous cesarean sections constitute a high-risk group in obstetrics. The study was conducted to determine the mode of delivery in a previous cesarean section group and maternalcomplications. Method:The study was a prospective observational study conducted in The NSCB Medical College, Jabalpur from January 2020 to June 2021. Cases with previous one cesarean section for outcome in present pregnancy were taken and Cases with gestation before 28 weeks and previous section > 2 were excluded. Result:A total of 384 cases presented with the previous one CS, TOLAC was given to 109 patients (28.38%) and 51.37% achieved VBAC in the TOLAC group. Women who were selected for repeat CS without a trial of labor were 275 (71.61%)and the most common indication being scar tenderness 28%. Post-op maternal complications and infectious morbidity were significantly higher in the repeat cesarean section group. Conclusion: Women given a trial of labor with careful monitoring and taken for emergency LSCS on minimal indication is the best answer to management with an expectant attitude and individualization of labor in patients who had one cesarean section is not only justifiable but represents a sound and conservative obstetrical practice