Author(s): S?awomir Suchocki, Pawe? Ko?omyjec, Marta Dyrdol-Mikrut
Introduction: The number of cesarean sections (CS) has risen drastically in recent years. Csection became the most common obstetrical surgical procedure performed in the world. Cesarean sections have also been influenced by non-medical factors, such as cesarean delivery on maternal request (CDMR). The increasing number of CS also reflects the growing number of women having previous c-sections. Material and methods: The study included 24027 pregnant women, who delivered babies between the years of 1992-2005, and cesarean section was performed in 1196 of them (4.9%). The study focused on the way the pregnancy ended, recommendations for repeated cesarean section, complications after c-section, and influence of different way of delivery on newborns scored according to Apgar test. Results: Repeated cesarean sections were performed in 682 women, what constitutes 57%; however, 435 were elective c-sections. Future CS was recommended for women with two or more previous c-sections, as well as for women with different medical conditions. Vaginal birth after cesarean (VBAC) was attempted in 63.3 % of women in the study, and it ended in successful vaginal delivery in 43%. Medical complications among the women included rapture of the old uterine scar in 9 women (8%), as well as extensive internal bleeding that required hysterectomy in 3 women (3 %). The different way of delivery after previous c-section did not have any influence on the evaluation of newborns according to the Apgar test.