Abstract

Objective: To determine the frequency of complications of vaginal delivery in patients with a history of cesarean section.

Methods: Prospective, observational, and descriptive study carried out from June 2019 to June 2020, with a total of 45 cases in the study period, 45 patients attended for resolution of gestation were analyzed, all with a history of cesarean section, they were concentrated in a database in the Excel program and quantitative and qualitative analysis of the study variables was carried out (gestations, maternal age, interpregnancy interval, indication for previous cesarean section, type of complication, obstetric outcome and, if necessary, reasons for a repeat cesarean section measures of central tendency were specified. Statistical significance was made as p < 0.05 and was performed using the Chi-square test and Fisher's exact statistic for nominal variables. Inclusion criteria: patients with full-term pregnancies, history of a transverse segmental cesarean section without contraindication for vaginal delivery, the reason for the previous cesarean section, and interpregnancy interval greater than 18 months.

Results: 45 patients were studied, complications were analyzed in 40%, by type of obstetric outcome, complications appeared in 36% of women with childbirth, and in 45% of women with a cesarean section, In patients with a vaginal outcome, the most frequent complication was third-degree B perineal tear in 12% of cases, however, in patients with repeat cesarean section, the most frequent complication in 20% of cases was the obstetric hemorrhage. The complications obtained in the study were not statistically major.

Conclusions: Cesarean section is a major surgical procedure that implies higher morbidity and mortality than childbirth, admitting delivery after cesarean section is a safe method in patients with a history of cesarean section with transverse segmental incision without contraindication for vaginal delivery, however, strategies should be developed to improve delivery care, decrease obstetric bleeding, and improve the obstetrician's ability to assess the risk of uterine rupture.

Keywords: Delivery After Cesarean Section; Vaginal Delivery; Cesarean Birth; Flamm Score

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Citation

Citation: Edgar Allan Villagómez Mendoza., et al. “Frequency of Complications of Vaginal Delivery in Patients with a History of Cesarean Section”. Acta Scientific Women's Health 3.2 (2021): 45-50.

Copyright

Copyright: © 2021 Edgar Allan Villagómez Mendoza., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.