Search In this Thesis
   Search In this Thesis  
العنوان
Evaluation of Trials of Labour after Previous Caesarean Section in Ain Shams University Maternity Hospital:
A Retrospective Study
/
المؤلف
El Kinawy,Hamdy Bakry Mohye .
هيئة الاعداد
باحث / حمدي بكري محيي القناوي
مشرف / أحمد رامي محمد رامي
مشرف / رحاب محمد عبد الرحمن
تاريخ النشر
2016.
عدد الصفحات
147.p;
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
أمراض النساء والتوليد
تاريخ الإجازة
01/10/2016
مكان الإجازة
جامعة عين شمس - كلية الطب - Obstetrics and Gynaecology
الفهرس
Only 14 pages are availabe for public view

from 147

from 147

Abstract

Objective
Evaluation of the practice and short term maternal and perinatal outcomes of TOLAC offered to women at ASUMH during the 3-year period from Jan 2013 to Dec 2015.
Study design
Retrospective record-based study.
Results
VBAC rate was 86%. A prior VD, particularly a prior VBAC, and presenting in active labour were significantly associated with a higher rate of success. Lower neonatal birth weight, longer inter-delivery interval and younger maternal age positively influenced the outcome. Hospital-stay was significantly shorter with successful VBAC. Maternal adverse events were more frequent among women who had an unsuccessful TOL, including uterine rupture, blood transfusion and endometritis.
Conclusion
Assessment of individual risks and the likelihood of VBAC is important in determining who are appropriate candidates for TOLAC. If the prerequisites for TOLAC are not available, ERCS is a safer option for delivery.