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SEZARYEN SONRASI HER HASTAYA NORMAL VAJİNAL DOĞUM DENENEBİLİR Mİ ?

SHOULD ALL WOMEN WITH PRIOR CESAREAN UNDERGO A VAGINAL BIRTH ATTEMPT ?

Journal Name:

  • İstanbul Tıp Fakültesi Dergisi

Publication Year:

  • 2010

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
The saying „once a cesarean, always a cesarean‟ which dominated obstetric practice began changing gradually in obstetric care which made a trial of labor possible after a previous cesarean delivery safer for both the woman and the fetus. A trial of labor after previous cesarean delivery has been accepted as a way to lower the overall cesarean delivery rate. Vaginal birth after a prior cesarean delivery came into practice in the early 1980s. Success of vaginal birth after cesarean section can be affected by maternal age, maternal body mass index, postmaturity, history of two prior cesareans, macrosomia, labor induction and grandmultiparity. We discussed in this paper success of vaginal birth after cesarean section, risk factors for uterine rupture, maternal and neonatal outcomes in women who undertake vaginal birth after cesarean section and selecting favorable pregnants for normal vaginal delivery.
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Abstract (Original Language): 
„Bir defa sezaryen hep sezaryen‟ deyiĢi daha sonra ilerleyen yıllarda değiĢmiĢ ve obstetrik pratikte sezaryen sonrası normal vajinal doğum hem çocuk hem de anne için güvenli Ģekilde uygulanmaya baĢlanmıĢtır. Sezaryen sonrası normal vajinal doğum, sezaryen ile doğum insidansını azaltmak amaçlı denenmeye baĢlanmıĢtr. Klinikte pratik olarak 1980‟li yıllarda ilk olarak uygulanmaya baĢlanmıĢtır. Sezaryen sonrası normal vajinal doğum baĢarısı, maternal yaĢ, vücut kitle indeksi, postmaturite, önceden birden fazla sezaryen hikayesi, makrozomi, doğum indüksiyonu, grandmultiparite gibi durumlardan etkilenebilir. Bu yazımızda sezaryen sonrası normal vajinal doğum baĢarısını etkileyen faktörleri, uterin rüptür risklerini, maternal-neonatal sonuçlarını ve sezaryen sonrası normal doğum için uygun hasta seçimi ile ilgili konuları tartıĢtık.
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  • 1
33-37
  • Turkish

REFERENCES

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İstanbul Tıp Fakültesi Dergisi Cilt / Volume: 73 • Sayı / Number: 1 • Yıl/Year: 2010
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