Natural Childbirth after the Previous Caesarian Section is a Solved Problem

• Published in: Problemy sotsial'noi gigieny, zdravookhraneniia i istorii meditsiny Vol. 27; no. Special Issue; p. 637
• Main Authors: Papysheva, O V, Esipova, L N, Radzinskiy, V E, Startseva, N M, Vuchenovich, Yu D, Kotaysh, G A, Gagaev, Ch G, Semenov, P A
• Format: Journal Article
• Language: English; Russian
• Published: Russia (Federation) 01-08-2019
• Subjects: Cesarean Section; Female; Humans; Natural Childbirth; Pregnancy; Vaginal Birth after Cesarean; cesarean section; natural childbirth; programmed delivery; caesarean scar
• ISSN: 0869-866X
• DOI: 10.32687/0869-866X-2019-27-si1-637-642

Тhe rapid increase in the frequency of сesarian section (CS) observed in recent years (up to 60% in some countries) is alarming and reduces the reproductive potential of the population. The operated uterus remains the main indication for CS (up to 40%). This is the factor which may allow reducing the frequency of the CS by subsequent delivering through the birth canal. A comparative analysis of maternal and neonatal outcomes enabled the authors to develop a two-stage delivery technology for patients with a caesarean scar, including the usage of the programmed delivery method. The presented algorithm confirmed the validity of vaginal delivery in such patients, and reduced the number of complications up to 4 times. Neonatal morbidity in children born through the birth canal in such patients was comparable to physiological birth.