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* |