title: Rates of caesarian section and trials and success of vaginal birth after caesarean sections in secondary care hospital.
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.
authors.forename: Raffat
authors.initials: R
authors.lastname: Bano
authors.forename: Ammara
authors.initials: A
authors.lastname: Mushtaq
authors.forename: Mehreen
authors.initials: M
authors.lastname: Adhi
authors.forename: Muhammad Danish
authors.initials: MD
authors.lastname: Saleem
authors.forename: Areeba
authors.initials: A
authors.lastname: Saif
authors.forename: Arsalan
authors.initials: A
authors.lastname: Siddiqui
authors.forename: Tahmina
authors.initials: T
authors.lastname: Parveen
authors.forename: Aneeqa
authors.initials: A
authors.lastname: Saif
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D010154:Pakistan; D011247:Pregnancy; D011256:Pregnancy Outcome; D012189:Retrospective Studies; D063127:Secondary Health Care; D014219:Trial of Labor; D016064:Vaginal Birth after Cesarean / Q000706:statistics & numerical data*