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. 2014 Apr-Jun;4(2):1–25.

Table 4 . Indications for repeat caesarean section in women with one previous CS .

Planned/Elective repeat CS Emergency repeat CS (failed TOLAC)
Indication N (%) Indications N (%)
Malpresentation 256 (12.1) CPD 163 (17.1).
Antepartum hemorrhage 85 (4.0) Slow progress 120 (12.5)
Preeclampsia/eclampsia 162(7.6) Failure to progress 154 (16.0)
Fetal macrosomia 348 (16.4) Fetal distress 104 (10.8)
Bad obstetric history 195 (9.2) Big baby 125 (13.0)
Previous myomectomy 93 (4.4) Ruptured uterus* 41 (4.3)
Post date 365 (17.2) Severe PE/eclampsia 148 (15.4)
Contracted pelvis 148 (7.0) Malpresentation 28 (2.9)
Maternal request 88 (4.1) Miscellaneous 77 (8.0)
Prolonged prom 54 (2.5) -
Retroviral infection 81 (3.8) -
Sickle cell disease 53 (2.5) -
GDM 56 (2.6) -
IUGR 69 (3.2) -
Miscellaneous 108 (3.1) -
Total 2119 (100.0) Total 960 (100.0)
GDM: gestational diabetes mellitus, CPD: cephalo-pelvic disproportion, PE: preeclampsia, CS: caesarean section, IUGR: intrauterine growth restriction, TOLAC: trial of labour after caesarean section*had laparotomy for ruptured uterus*