مقایسه هزینه و عوارض زایمان طبیعی پس از سزارین با سزارین تکراری

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 rials. 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.