Dersleri yüzünden oldukça stresli bir ruh haline sikiş hikayeleri bürünüp özel matematik dersinden önce rahatlayabilmek için amatör pornolar kendisini yatak odasına kapatan genç adam telefonundan porno resimleri açtığı porno filmini keyifle seyir ederek yatağını mobil porno okşar ruh dinlendirici olduğunu iddia ettikleri özel sex resim bir masaj salonunda çalışan genç masör hem sağlık hem de huzur sikiş için gelip masaj yaptıracak olan kadını gördüğünde porn nutku tutulur tüm gün boyu seksi lezbiyenleri sikiş dikizleyerek onları en savunmasız anlarında fotoğraflayan azılı erkek lavaboya geçerek fotoğraflara bakıp koca yarağını keyifle okşamaya başlar
Reach Us +44 3308186230

GET THE APP

Maternal and Foetal Outcomes in Patients with Previous Caesarean Section Undergoing Trial of Vaginal Birth at a Tertiary Care Centre in North India | OMICS International | Abstract

Our Group organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Research Article

Maternal and Foetal Outcomes in Patients with Previous Caesarean Section Undergoing Trial of Vaginal Birth at a Tertiary Care Centre in North India

Nilanchali Singh*, Reva Tripathi and YM Mala
Maulana Azad Medical College and associated LokNayak Hospital, Bahadur Shah ZafarMarg, Delhi Gate, New Delhi, India
Corresponding Author : Nilanchali Singh
Maulana Azad Medical College and associated LokNayak Hospital
Bahadur Shah ZafarMarg, Delhi Gate, New Delhi, India
Tel: 919811343168
E-mail: nilanchalisingh@gmail.com
Received July 11, 2014; Accepted July 25, 2014; Published August 02, 2014
Citation: Singh N, Tripathi R, Mala YM (2014) Maternal and Foetal Outcomes in Patients with Previous Caesarean Section Undergoing Trial of Vaginal Birth at a Tertiary Care Centre in North India. J Preg Child Health 1:102. doi: 10.4172/2376-127X.1000102
Copyright: © 2014 Singh N, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Objective: The objective of this study is to evaluate clinical criteria conventionally known to affect mode of delivery in previous caesarean section cases. We also aim to study the maternal and neonatal outcome in vaginal birth after Caesarean section and repeat Caesarean Section.

Study Design: This is a prospective longitudinal study.

Patients and Methods: Pregnant women with previous caesarean section presenting in antenatal clinic were recruited in the study. A detailed history was taken and routine antenatal care given. Mode of delivery decided as per the protocol followed in routine. Maternal and neonatal outcome were noted.
 

Result: The VBAC rate was 67.6%. Foetal distress and meconium stained liquor were the most common indications of repeat Caesarean section. Interval between previous Caesarean and current pregnancy was significantly more in the vaginal delivery group (p value <0.001). The number of prior vaginal deliveries after Caesarean section was significantly more in the vaginal delivery group (p value<0.001). Incidence of Caesarean hysterectomy and infectious morbidity were significantly more in emergency repeat Caesarean section group. There was no significant difference in the neonatal outcome in the two groups.


Conclusion: Successful trial of labour in previous caesarean is associated with better outcomes than emergencycaesarean section and hence appropriate selection of patients for trial of VBAC is necessary, especially in low resource settings where facilities of feto-maternal monitoring are limited.

Keywords

Top