مقايسه هزينه و عوارض زايمان طبيعي پس از سزارين با سزارين تكراري

The Comparison of Cost and Morbidity of Vaginal Birth after Cesarean with Repeat Cesarean Section

Most common cause of cesarean in U.S.A and Fatemieh hospital in Hamadan is repeat cesarean section. The most effective way to reduce cesarean rate is vaginal delivery after previous cesarean section. The aim of this survey was to confirm the safety and less cost and morbidity in vaginal delivery after previous cesarean section. Full term pregnant women with history of once previous section with a singleton , cephalic , less than 3.5 kg fetus who selected vaginal delivery, were studied. From the 201 selected cases , 109 patients had vaginal delivery and 81 patients of the delivered successfully (74.3%). No maternal morbidity happened. Morbidity reduced to 3.7% in comparison to 7% in cesarean after cesarean. Vaginal delivery after cesarean reduced cost to half. 81 vaginal delivery after previous c/s saved 20 million rids. Mean hospital stay in vaginal delivery group was 1.1 day and in cesarean group was 2.8 day. Cause of cesarean - selection in 36.9% of patients was pain and fear of pain. This survey reduced c/s rate from 25.1% to 21,2% and changed the most common cause of cesarean from repeat to meconium. Vaginal delivery after cesarean was safe and reduced the cost and morbidity. Main cause of cesarean selection was pain and fear.