[Ways of delivery after cesarean section].

OBJECTIVE

To analyse deliveries after a previous cesarean section.

STUDY

DESIGN

The way of birth of 262 patients between 1993-1995 in the Ist Department of Obstetrics and Gynaecology of Warsaw University Hospital was analysed. Material was divided into two groups: an elective cesarean section operation was performed on 117 women, while 145 women underwent a trial of labour.

RESULTS

The most common indications for an elective cesarean section were fetal distress and maternal diseases. A trial of vaginal delivery was successful in 55.2%. The repeated operation was performed on 44.8% of women. The most frequent indication for a cesarean section during a trial of labour was failure to progress.

CONCLUSIONS

Women after a previous cesarean section, who underwent a trial of labour delivered vaginally in 55.2%-30.5% of all the patients in the analysed material. The indications for the repeated operation were the same as for the first one in 27% of the cases.