Maternal Outcomes After Trial of Scar in Women with Previous One Lower Segment Cesarean Section in Duhok

Abstract

Background: Cesarean section (C/S) technique has been developed over a period of one thousand years. It is remarkable that it is still a serious operation, and it is connected with special complications and risks, potentially resulting in short and long-term consequences for the mother and neonate. The rate of the cesarean section has increased with different variation in countries. Women with prior cesarean section constitute to be a high-risk group in obstetrics.

Aim: To assess the maternal outcome in previous C/S women given a trial of labor and to determine the influenced causes behind C/S.

 Methods: A cross sectional study conducted at Duhok hospital of obstetrics and gynecology, using the medical records of 700 women with previous one cesarean section and their gestational age > 37 weeks who delivered between 1st of January to 31st of December 2020.

Results: Their age ranged between 15 and 44 years. Out of the 700 cases, elective C/S was decided for 186 (26.6%). Patient attended with early labor and needed C/S were 54 (7.7 %) on arrival. What have been left are 460 (65.7%) who had trial of scar, 264 (57.4%) ended with vaginal birth and 196 (42.6%) had C/S after failed trial. The most common reason for elective was previous delivery within 18 months (27.1%). The most common indications for failed trail of scar were failure to progress in labor (49%), fetal distress (46.4%) and ante-partum hemorrhage (4.6%).

Conclusions: Trial of scar after one previous cesarean section is safe and often successful with satisfactory outcomes, on basses of accurate selective criteria, with minimal   maternal complications.