ARCHIVEOBSTETRICS AND GYNECOLOGY
International Medical Journal, Vol. 19., Iss. 3, 2013, P. 62−65.
DELIVERY AFTER CESAREAN SECTION: IS THE RISK JUSTIFIED?
Kharkiv Regional Clinical Perinatal Center
Abstract. The authors analyzed the literature data on the variants of delivery management after cesarean section. As the frequency of cesarean section (CS) increased during the recent twenty years, vaginal delivery after CS is suggested as a method to reduce it. A decision about delivery after CS includes determining the balance between the risk and benefit of each type of delivery. An attempt of vaginal delivery in any woman with a low transverse section on the uterus is desirable but the recent investigations warn the doctors and patients about potential unfavorable consequences. Comprehensive counseling considering the "passport of the operated uterus" from the very beginning of the pregnancy can give the best conditions for the attempt to perform vaginal delivery associated with lower number of complications, is less expensive and allow shorter rehabilitation period (about 40−60% of attempts are successful in patients meeting all requirements of the choice). A great attention should be paid to prognostic criteria to obtain safe treatment and successful outcome at vaginal delivery.
Key words: cesarean section, vaginal delivery, fetus, scar on the uterus.