%0 Journal Article
%T Trial of Labour after Caesarean Section: A 5-Year Review
%A Francis Olayemi Adebayo
%A Rafat Bolanle Muhammad
%A Nathaniel Adewole
%A Adedeji Oyeniyi Adesope
%J Open Journal of Obstetrics and Gynecology
%P 1121-1129
%@ 2160-8806
%D 2018
%I Scientific Research Publishing
%R 10.4236/ojog.2018.812113
%X <strong>Background</strong><strong>: </strong><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">Trial of labour after Caesarean section (TOLAC)
refers to an attempt at vaginal delivery after a previous caesarean section.
Outcome is influenced by a number of factors which are important in patient¡¯s
selection.</span></span><span><span style=\"font-family:&quot;\"> </span></span><span style=\"font-family:Verdana;\"><b><span style=\"font-family:Verdana;\">Objectives:</span></b></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"> The aim of this study was to find
out the incidence and</span></span><span><span style=\"font-family:&quot;\"> </span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">feto-maternal outcome of the
practice of Trial of labour after Caesarean section.</span></span><span><span style=\"font-family:&quot;\"> </span></span><span style=\"font-family:Verdana;\"><b><span style=\"font-family:Verdana;\">Methodology: </span></b></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">This is a retrospective study of
cases of vaginal birth after Caesarean section Data w</span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">ere</span></span><span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\"> retrieved from the case notes
of patients who attempted vaginal birth after Caesarean section from January 1,
2013 to December 31, 2017, a period of five years. </span><b><span style=\"font-family:Verdana;\">Result:</span></b><span style=\"font-family:Verdana;\"> There were
10,669 deliveries, 3179 of which were through Caesarean section. This gave a
Caesarean section rate of 29.8%. A total of 217 patients attempted vaginal
birth after Caesarean section and 83 ended up as repeat Caesarean section
(38.2%) while 138 (61.8%) had successful vaginal birth after Caesarean section.
Patients with previous vaginal delivery, age range 25</span></span></span><span><span style=\"font-family:&quot;\"> </span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">-</span></span><span><span style=\"font-family:&quot;\"> </span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">29 years and interdelivery
interval of greater than or equal to 2 years were more successful at achieving
vaginal birth after Caesarean section. The leading indications </span></span><span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\">for the repeat
%K Trial of Labour after Caesarean Section
%K Vaginal Birth after Caesarean Section
%K Inter-Delivery Interval
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=87701