Maternal and Foetal Outcomes in Trial of Labour with a Previous Lower Segment Caesarean Section Scar at Sarawak General Hospital, 2010
The research aimed to study outcomes of trial of labour in women with a previous LSCS scar in Maternity Unit, Sarawak General Hospital, Malaysia, 2010 and it was designed as retrospective study by reviewing records of pregnant women with a previous caesarean section scar without prior vaginal deli...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | en |
| Published: |
Malaysian Society of Applied Biology
2018
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| Subjects: | |
| Online Access: | http://ir.unimas.my/id/eprint/21680/7/MATERNAL.pdf http://ir.unimas.my/id/eprint/21680/ https://www.researchgate.net/publication/324644114 |
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| Summary: | The research aimed to study outcomes of trial of labour in women with a previous LSCS scar in Maternity Unit, Sarawak
General Hospital, Malaysia, 2010 and it was designed as retrospective study by reviewing records of pregnant women with a
previous caesarean section scar without prior vaginal delivery. Out of 390 women, successful vaginal delivery rate (VBAC)
was 53.3%. Blood loss among successful group were significantly less than that of failed group (p=0.018) but blood transfusion
was not significantly different between these two groups (p=0.258). Successful VBAC rate was significantly higher in the
group of foetal weight between 2.5 to 3.5 Kilogram comparing to the group of more than 3.5 Kilogram (p=0.048). Newborns
with Apgar score less than 7 after 1 minute of delivery were more common in failed VBAC than successful VBAC (p=0.026).
NICU admission were higher in the group of preterm pregnancy (p <0.001). The study concluded that success rate was
about fifty percent. Foetal birth weight was a significant factor for successful VBAC. These results should be considered in
trial of labour. |
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