Abstract:
Objective: To determine the successful pregnancy outcome in women who opted for trial of labour after one lower segment
transverse caesarean section (TOLAC).
Study Design and Setting: Descriptive cross-sectional study. Department of Obstetrics and Gynaecology, Combined
Military Hospital Abbottabad, from Nov 2022 to April 2023.
Methodology: 54 pregnant women were included in our study who had previously undergone one lower segment caesarean
section more than 18 months back. They were booked at their first visit, briefed and counselled for trial of labour after
caesarean section (TOLAC ), and were advised to await spontaneous labour till 40 completed weeks of gestation and in
case of failure of onset of labour then for induction of labour. Data was collected in terms of successful vaginal birth/repeat
caesarean section and fetomaternal outcome.
Results: In our study, 54 women agreed for trial of labour who had one caesarean section more than 18 months back.
Vaginal birth was successful in 39 women (72.22%). Gestational age, BMI, and age of the woman did not show any
significant effect on trial of labour. Factors leading to successful outcome include previous vaginal delivery, spontaneous
onset of labour, favourable bishop score, women who are keen for vaginal delivery.
Conclusion: The study concluded that most pregnant women prefer labour trial after one CS. Adequate counselling and
briefing of women reduce their anxiety, and help them to make decisions about their preferred mode of delivery
