Author(s): Ryszard Por?ba
Rate of cesarean section increased in the last years significantly. Currently it is estimated as 25-35%. Parallel increased number of pregnant women after a previous cesarean section, thus stimulating maternal mortality and morbidity. Incidence of complications of a repeated cesarean section and relatively lower rate of complications of vaginal birth after cesarean section (VBAC) were presented in the paper. A prognostic chart was worked out in our clinic in 1979. Since then a prospective research is continued in monitoring pregnancies and VBACs. A drawing of Themis weighing disadvantages of repeated cesarean section and VBAC was presented. Basing on our prognostic chart qualification for VBAC and the delivery monitoring can be performed easily, avoiding early and late complications.