gynecology and obstetrics medical project, gynecology journal, obstetrics, gynecologic oncology, reproductive medicine, gynecological endoscopy, ultrasonography, gynecology articles

Ginekologia i Poloznictwo
ISSN 1896-3315 e-ISSN 1898-0759

Way of Delivery in Relation to Time from the Last Caesarean Section and Perinatal Complications in Relation to Way of Delivery


Author(s): Jolanta Mazurek-Kantor, Włodzimierz Sawicki, Beata Osuch, Beata Śpiewankiewicz, Jerzy Stelmachów

Background. Pregnancy planning and delivery management in case of patients after past caesarean section are still controversial. Material and methods. Authors, on the basis of analysis of 1408 delivering patients after past caesarean section between years 1986-2001, tired to define what time break after previous caesarean section is the most convenient for natural delivery. Additionally, we presented comparison between complications in this group of patients and way of delivery – operative or natural. Results. We proved that among patients delivering before lapse of a year from previous caesarean section as many as 67,2% delivered by caesarean section again. Most of the patients,56,1% delivered by natural way in period of 3-4 years after previous caesarean section. In the rest of the periods of time about half of the patients delivered by natural way. Analyzing complications, in relation to way of delivery, it was proved that in case of patients delivered once again by caesarean section uterus scar was more often abnormal and antibiotics and hematinic drugs were more often prescribed. Between rest of the complications no statistically significant differences were found. Key words: cesarean section, birth after cesarean section