Frequency of Vaginal Delivery in Current Pregnancy after Caesarean Section due to Breech Presentation in Antecedent Pregnancy

  • Madiha Shahid
  • Sobia Nawaz
  • Sadia Khan
  • Tallat Farkhanda
  • Ruqyyah Salim
  • Kanwal Firdos et al
Keywords: Vaginal Birth after Cesarean, Trial of Labor After Cesarean, Breech presentation

Abstract

Objective: To determine the frequency of vaginal delivery in the current pregnancy after caesarean section due to breech presentation in antecedent pregnancy.

Methodology: This Cross-sectional study was conducted at Department of Obstetrics and Gynecology, District Headquarters Hospital, Rawalpindi from 1st February 2020 to 31st July 2020. Informed written consent was obtained from patients who were delivered in the department of Obs/Gynae by vaginal or abdominal route fulfilling specified inclusion criteria of my study. The history of current pregnancy and previous pregnancy, thorough examination, and relevant investigations were reviewed in detail.  The frequency of modes of delivery (vaginal or caesarean section) was calculated. The collected data was entered and analyzed using the statistical package of social sciences (version 20). Quantitative data like age, gestational age, BMI, and duration since last delivery was presented as mean and standard deviation. A post-stratification chi-square test was applied. P < 0.05 was significant.

Results A total of 125 patients were included according to the inclusion criteria of the study. The mean age (years) in the study was 28.78+4.57 whereas the mean duration of last delivery (years) in the study was 2.41+1.03. There were 75 (60.0) female patients vaginally delivered in current pregnancy after caesarean section due to breech presentation in antecedent pregnancy.

Conclusion: The study concludes that the frequency of vaginal delivery in current pregnancy after caesarean section due to breech presentation in antecedent pregnancy is high which is similar to previous published literature.

Published
2022-09-04
Section
Original Articles