EFFECTS OF SHORT INTER-DELIVERY INTERVAL ON MODE OF DELIVERY IN PREVIOUS ONE CAESAREAN SECTION CASES

Abstract

OBJECTIVE: To determine the effects of short inter delivery interval (IDI) on mode of delivery in patients with immediate previous one caesarean section (C-Section). METHODS: This is a retrospective chart review of 120 patients treated at Khyber Teaching Hospital, Peshawar, Pakistan from December 2017 to December 2019. Patients of previous one C-Section and with gestational age of >37 weeks were included in this study. Outcome variables were mode of delivery whether operative or vaginal delivery, maternal and fetal complications such as scar dehiscence or scar rupture and fetal distress. RESULTS: Mean age of the patients was 28.9±2 years. IDI was 24 months in 31/120 (25.8%) cases. Out of 120, 102 (85%) patients underwent trial of labour after C-section (TOLAC). TOLAC was successful in 64 (62.7%) cases. Patient who underwent TOLAC with IDI of 18 months is recommended to avoid the maternal and fetal morbidity and mortality.

Keywords

• birth intervals
• pregnancy
• inter-pregnancy interval
• inter delivery interval
• vaginal birth after cesarean
• trial of labour after cesarean
• tolac
• cesarean section
• scarring
• maternal tachycardia
• fetal distress