Maternal and Foetal Outcomes in Trial of Labour with a Previous Lower Segment Caesarean Section Scar at Sarawak General Hospital, 2010

Kyaing, Yee Yee and Awi, I. and Mardiana, Binti Kipli and Haris Njoo, Suharjono and Mya, Kyawswa (2018) Maternal and Foetal Outcomes in Trial of Labour with a Previous Lower Segment Caesarean Section Scar at Sarawak General Hospital, 2010. Malaysian Applied Biology Journal, 47 (1). pp. 167-172. ISSN 0126-8643

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Abstract

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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