Repeated sectio caesarea, over and over: case report

Czech version

Authors: Iva Výmolová
Authors‘ workplace: Gynekologicko-porodnické oddělení Krajské nemocnice T. Bati a. s., prim. MUDr. Z. Adamík, Ph. D.
Published in: Prakt Gyn 2013; 17(2): 123-127
Category: Gynecology and Obstetrics: Case Report

Overview

Vaginal delivery after the previous Caesarean section raises a great deal of controversy. Attempted vaginal delivery following the previous Caesarean section has been receiving ever growing attention since the 1980s in relation to the significant increase in pregnancies ended by Caesarean section. The gravest complication relating to vaginal birth following Caesarean section is uterine rupture. Although the complication is rare (0.2-1.5 %), it ranks among the most serious due to its consequences. Further risks are associated with an increasing incidence of placenta pathology (placenta accreta, placenta praevia) following previous caesarean sections. The described case study shows a unique case of a patient with a history of 9 caesarean sections, whose pregnancy and caesarean delivery itself were free of any complications.

Key words:
sectio caesarea – trail of labor – uterine rupture – vaginal birth after caesarean section

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