[Analysis of labor methods after cesarean sections in the last 50 years]

The aim of the work was to analyze the incidence and changes in the labors after previous cesarean section in the last 50 years. The study was conducted on the basis of the labors documented in our Clinic between 1946 and 1996 year. Cesarean sections are more and more frequent in these years and the amount of the patients with previous cesarian section elevates. We observed the increase rate of repeat cesarean delivery in comparison to vaginal birth after cesarean section. The trial of vaginal labor after cesarean section is usually successful in young patients (under 25 years old), repeat cesareans is mainly observed in patients older than 35. The permanent decrease in the incidence of instrumental deliveries in comparison with cesarean section was observed. The trial of vaginal labor after cesarean section, after exclusion of contraindicatins, should be routine procedure decreasing the amount of cesarean sections.