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Abstract
Background: One of the most common surgical procedures performed on women globally is the cesarean section. The increasing number of repeat cesarean deliveries prompted the introduction of the trial of labor after cesarean section (TOLAC). Vaginal birth after cesarean (VBAC) has gradually increased over the past few decades but careful patient selection is necessary due to potential risks for both the mother and the fetus. Evidence from these kinds of studies can help make safe decisions minimize complications from repeated cesarean sections cut down on needless repeat surgeries and reduce healthcare costs.
Objectives: To ascertain the frequency of labor trial failure following a prior cesarean section and to pinpoint the reasons behind it.
Design: Descriptive cross-sectional Study
Setting: Gynecology and Obstetrics Department Ruth K. M. Pfau Civil Hospital Karachi six months after the synopsis was approved.
Subject and Methods: The study comprised 313 pregnant moms who had undergone one previous cesarean surgery. After a thorough obstetric history, demographic data, and the cause of the prior cesarean section were recorded, a thorough clinical examination was carried out. During the postpartum recovery period, vital signs, uterine tone, and postpartum bleeding were all thoroughly monitored.
Results: - The participants were 26. 21 ± 4. 17 years old on average. In 35. 14 percent (110/313) of the cases TOLAC failure was noted. The primary causes of failure were fetal distress in 23. 64 percent of these patients scar dehiscence in 33. 64 percent and lack of labor progress in 42. 73 percent.
Conclusion: The results indicate that women who have had one prior cesarean section should not be automatically barred from attempting TOLAC due to the lack of a prior vaginal delivery. Reducing repeat cesarean rates and related morbidities may be possible with proper selection and monitoring.