[Management of labor after previous cesarean section]

Knowledge of the recent literature and evaluation of 210 deliveries in our own hospital are intended to help to provide an assessment of delivery management after prior cesarean section. In 56.6% of the cases, resection was chosen as the mode of delivery after cesarean section. The primary resection rate was 29.5% and the secondary rate 27.1%. Protracted labour is the main indication (around 60%) for secondary resection. Secondary resection is subject of a high maternal morbidity. The overall rate of uterine ruptures in the patients (1.4%) corresponds to the international level. 43.4% of the patients were delivered vaginally, 15.4% of these by vacuum extraction. An individualized procedure is necessary and to be aimed for in view of the problems discussed. The conclusions emphasize the main points of the procedure in management and delivery of pregnant women with a cesarean section in the case history.