Malays. Appl. Biol. (2018) 47(1): 167–172
MATERNAL AND FOETAL OUTCOMES IN TRIAL OF LABOUR
WITH A PREVIOUS LOWER SEGMENT CAESAREAN SECTION
SCAR AT SARAWAK GENERAL HOSPITAL, 2010
YEE YEE KYAING1*, AWI ANAK IDI1, MARDIANA BINTI KIPLI1, HARIS NJOO SUHARJONO2
and KYAWSWA MYA3
1Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences,
University Malaysia Sarawak, 93400, Kota Samarahan, Sarawak, Malaysia
2Department of Obstetrics and Gynaecology, Sarawak General Hospital,
93000, Kuching, Sarawak, Malaysia
3Department of Biostatistics, University of Public Health, Yangon, Myanmar
*E-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it , This e-mail address is being protected from spambots. You need JavaScript enabled to view it
Accepted 21 February 2018, Published online 31 March 2018
ABSTRACT
The research aimed to study outcomes of trial of labour in women with a previous LSCS scar in Maternity Unit, Sarawak General Hospital, Malaysia, 2010 and it was designed as retrospective study by reviewing records of pregnant women with a previous caesarean section scar without prior vaginal delivery. Out of 390 women, successful vaginal delivery rate (VBAC) was 53.3%. Blood loss among successful group were significantly less than that of failed group (p=0.018) but blood transfusion was not significantly different between these two groups (p=0.258). Successful VBAC rate was significantly higher in the group of foetal weight between 2.5 to 3.5 Kilogram comparing to the group of more than 3.5 Kilogram (p=0.048). Newborns with Apgar score less than 7 after 1 minute of delivery were more common in failed VBAC than successful VBAC (p=0.026). NICU admission were higher in the group of preterm pregnancy (p <0.001). The study concluded that success rate was about fifty percent. Foetal birth weight was a significant factor for successful VBAC. These results should be considered in trial of labour.
Key words: Lower segment caesarean section (LSCS), Trial of labour after caesarean section (TOLAC), Vaginal birth after caesarean section (VBAC)
