The Comparison Risks of Normal Vaginal Delivery and Cesarean Section in Women With a Positive History of Cesarean Section

In recent years, repeated cesarean was the most important reason for cesarean surgery in our country. Although a previous cesarean is not a compulsory indication for section, it has been recommended by the Society of Obstetricians and Gynecologists of Canada and the American College of Obstetricians and Gynecologists (ACOG) as a safe and desirable option for the majority of women who have had previous cesarean section All files (a total of 15,073 cases) of the Rafsanjan’s Niknafs Hospital archives dating back to the years 1368 to 1370 were evaluated. 592 cases with a history of previous cesarean section were selected. Then the necessary information was recorded in a research checklist. The prevalence of normal delivery was 26/7%. Despite the significant difference between the bedding time in the hospital of the two groups (p=0/001), there was no significant difference between the maternal and neonatal complications in the two groups. In non of the 154 cases of cephalic deliveries uterine rupture occurred. One case of uterine rupture due to a breech delivery and cephalic dystocia and one case of dehiscence due to a long labor of a fetus with transverse lie occurred at home. Based on global reports the risk of uterine rupture is 0/01 – 0/001 but in this research study out of 154 vaginal cephalic deliveries, there was no uterine rupture. Vaginal delivery after cesarean section in women with access to suitable obstetric facilities, who desire it, and are looked after by experts, is appropriate especially for low-income people.