Author/Authors :
Bano, Raffat Aga Khan Hospital for Women, Karimabad - Department of Obstetrics and Gynecology, Pakistan , Mushtaq, Ammara Dow University of Health Sciences - Dow Medical College, Pakistan , Adhi, Mehreen Tufts University - School of Medicine, New England Eye Center, Tufts Medical Center, USA , Saleem, Muhammad Danish Dow University of Health Sciences - Medical College, Pakistan , Saif, Areeba Dow University of Health Sciences - Medical College, Pakistan , Siddiqui, Arsalan Dow University of Health Sciences - Medical College, Pakistan , Parveen, Tahmina Aga Khan Hospital for Women, Karimabad, Pakistan , Saif, Aneeqa Dow University of Health Sciences - Dow Medical College, Pakistan
Abstract :
We planned to investigate the rates of Caesarean Section (CS), potential Vaginal Births After previous Caesarean Section (VBAC), and successful VBAC in a secondary care hospital. We conducted an analytical retrospective study at Aga Khan Hospital for Women, Karimabad, Karachi, from October 2011 to September 2012. Data related to total deliveries, Lower Segment CS (LSCS), attempted VBAC and successful VBAC was retrieved from medical records. Total number of deliveries were 3266. Of these, 1021(31.26%) deliveries were conducted by CS. A total of 365(11.1%) had a previous history of one CS and VBAC trial was given to 33(9%) of these pregnancies. The success rate of VBAC was 21(63.6%). Our results highlight that despite having limited resources, our rates of CS, VBAC trials and successful VBACs were within reasonable limits when compared with international rates.
Keywords :
Caesarean section , Vaginal birth after caesarean section , Secondary care , Pakistan.
