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An Audit of Labour Following Caesarean Section at the Aga Khan Medical Centre
Author(s) -
Wasti Shahnaz,
Turab Azhar,
Agha Zia,
Qazi Fahim,
Hussany Fuad,
Farid Hamida,
Rizvi Javaid H.
Publication year - 1994
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.1994.tb01101.x
Subject(s) - cephalopelvic disproportion , caesarean section , medicine , vaginal delivery , obstetrics , uterine rupture , audit , vaginal birth , pregnancy , uterus , genetics , management , economics , biology
Summary: An audit of labour following Caesarean section was carried out over a 70‐month‐period to assess our management of labour following Caesarean section and to support the hospital quality assurance review progress for obstetric care: 419 patients with 1 previous Caesarean section were given a trial of labour: 314 (75%) women had a vaginal delivery and 105 (25%) had a repeat Caesarean section. The highest failure rate was observed in women whose previous indication for Caesarean section was cephalopelvic disproportion. There were 6 (1.4%) cases of scar dehiscence and 4 (1%) of uterine rupture. Vaginal delivery following Caesarean section is a viable cost‐effective, safe procedure in a high quality labour and delivery unit in a developing country.