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[Natural Childbirth after the Previous Caesarian Section is a Solved Problem]

O V Papysheva1, L N Esipova1, V E Radzinskiy2

  • 1S. S. Yudin City Clinical Hospital, 115446, Moscow, Russia.

Problemy Sotsial'Noi Gigieny, Zdravookhraneniia I Istorii Meditsiny
|November 21, 2019
PubMed

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.

Keywords:
caesarean scarcesarean sectionnatural childbirthprogrammed delivery

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