Vaginal delivery after caesarean section

Previous caesarian section without permanent indications is not unconditional reason for repeating cesarean section. Most of such births, either spontaneous or planed, would be finished as vaginal birth. Vaginal birth after caesarian section - VBAC - is lower traumatic for mother than repeated cesarean section. During last decade rate of VBAC have increasing trend.

Yöntem

These report presents statistical data gathered through retrospective analyze of deliveries in one year period at Ob/ Gyn Clinic Tuzla.

Bulgular

Out of 4480 deliveries complited at Clinic in one year period we had 249 or 5,56% with previous CS. The majorities (93,98%) of this number were women with two or three previous deliveries. Regarding the age most represented were patients between 19 and 34 years - 80,72%. On term deliveries had 91,57% patients. As indication for repeated CS pre-term rupture of membrane had 24,90% patients and meconial water had 19,68%. Most of patients (39,36%) had 4 - 7 control examinations during the pregnancy. There were 24,90% of births complited by Syntocinine stimulation and 4,82% by vacuum extraction. Out of 249 patients with previous SC repeated SC had 67,47% patients. We had 22 patients (8,84%) with two previous CS. Imminent uterine rupture had 6,80% patients and there were one incomplete rupture or 0,40%.

Sonuç

Repeated SC is complicated surgery with significant influence on further obstetrical complications. Vaginal delivery is safer and less complicated then repeated CS. Every Hospital equipped for obstetrical care should be able to offer women vaginal delivery after previous Caesarian section. Vaginal delivery has many benefits: medical, psychological and financial.

Anahtar Kelimeler

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