Outcome of Trial of Labour in Patients with Previous one Lower Segment Caesarean Section

Objectives: To determine the outcome of trial of labour in patients with previous one lower segment caesarean section. Material and methods: This study was conducted in the department of obstetric and gynaecology of Alkhidmat Teaching Hospital Mansoorah Lahore from January 2006 to December 2009. During this period, total of 257 patients were given trial of labour. Detailed history, examinations and investigations were carried out. Inclusion criteria include lower transverse caesarean section for non-recurrent cause or imprecisely labeled CPD (cephalopelvic disproportion) not proved clinically or on Xray pelvimetry with 37 weeks completed or above. Results: During the study period 352 patients were admitted with the history of one previous caesarean section, 257 (73%) patients were selected for trial of labour. Out of 257 patients, 176 (68.4%) patients were delivered vaginally and 81 (31.5%) patients failed in trial of labour and were delivered by caesarean section. There were three cases of scar dehiscence but one was complete ruptured uterus resulting in neonata.