Öz

Caesarean section rates are rising globally. Although the rate of vaginal birth after caesarean VBAC attempts has decreased over the past several years, new well-designed studies support the safety of VBAC for many women with a prior cesarean s . In this report, we review the evidence associated with the risks of VBAC, success of VBAC, adverse maternal and neonatal outcomes in women who undertake VBAC, consequences of multiple cesareans and the role of clinical management strategies to improve outcomes according to research.

Anahtar Kelimeler

• vaginal birth after caesarean birth VBAC,caesarean delivery,vaginal birth

SEZARYEN SONRASI VAJINAL DOĞUM: KANITA DAYALI UYGULAMALAR

Öz

Dünyada sezaryen oranları her geçen gün artmaktadır. Son yıllarda sezaryen sonrası vajinal doğum SSVD oranı düşmesine rağmen, iyi planlanmış güncel çalışmalar önceden sezaryen olan bir çok kadıniçin SSVD’un güvenli olduğunu belirtmektedir.Bu makalede SSVD’un riskleri, SSVD’um başarısı,SSVD’a bağlı maternal ve neonatal sonuçlar, bir çok kez sezaryen olmanın sonuçları ve SSVD’un klinikyönetimi üzerine yapılan çalışmalar incelenmiştir

Anahtar Kelimeler

• sezaryen sonrası vajinal doğum SSVD,sezaryen,vajinal doğum

Kaynakça

1. Adjahoto, E.; Ekouevi, D.; Hodonou, K. (2001) Factors predicting outcome of trial of labor after prior cesarean section in a developing country, Journal de Gynecologie, Obstetrique et Biologie de la Reproduction 30;174–179
2. American College of Obstetricians and Gynecologists (2004) Vaginal Birth After Previous Cesarean Delivery. Washington, DC: The College, ACOG Practice Bulletin.
3. Blanco, D.; Collins, M.; Willis, D.; Prien, S. (1992) Prostaglandin E2 gel induction of patients with a prior low transverse cesarean section, American Journal of Perinatology .9; 80–83.
4. Cahil, A.G.; Stamilio, D.M.; Pare, E et al. (2005) Vaginal birth after cesarean (VBAC) attempt in twin pregnancies: is it safe? American Journal of Obstetrics and Gynecology 193;1050–1055.
5. Cahil, A.G.; Stamilio, D.M; Odibo, A.O et al. (2006) Is vaginal birth after cesarean (VBAC) or elective repeat cesarean safer in women with a prior vaginal delivery? American Journal of Obstetrics and Gynecology 195;1143–1147.
6. Cahil, A.G.; Macones, G.A. (2007) Vaginal birth after cesarean delivery: evidence-based practice. Clinical Obstetrics and Gynecology Jun; 50(2):518-25
7. Flamm, B.L.; Geiger, A.M. (1997a) Vaginal birth after cesarean delivery: an admission scoring system, Obstetrics and Gynecology 90;907–910.
8. Flamm, B.L.; Anton, D.; Goings, J.R.; Newman, J. (1997b) Prostaglandin E2 for cervical ripening: a multicenter study of patients with prior cesarean delivery, American Journal of Perinatology 14;157–160.

9. Guise, J.M.; Hashima, J.; Osterweil, P.(2005) Evidence-based vaginal birth after Caesarean section. Best Practice & Research. Clinical Obstetrics & Gynaecology Feb;19(1):117-30
10. Hashima, J.N.; Guise, J.M. (2007) Vaginal birth after cesarean: a prenatal scoring tool. American J o u r n a l o f O b s t e t r i c s a n d G y n e c o l o g y May;196(5):e22-3
11. Landon, M.; Hauth, J.C.; Leveno, K.J et al. (2004) Maternal and perinatal outcomes associated with a trial of labor after prior cesarean delivery. The New England Journal of Medicine 351;2581–2589.
12. Landon, M.B.; Leindecker, S.; Spong, C.Y. et al. (2005) The MFMU cesarean registry: factors affecting the success of trial of labor after previous cesarean delivery. American Journal of Obstetrics and Gynecology 193;1016–1023.
13. Landon, M.B.; Spong, C.Y.; Thom, E. et al. (2006) Risk of uterine rupture with a trial of labor in women with multiple and single prior cesarean delivery. Obstetrics and Gynecology 108;12–20.
14. Lydon-Rochelle, M.; Holt, V.L.; Easterling, T.R; Martin, D.P. (2001) Risk of uterine rupture during labor among women with a prior cesarean delivery. The New England Journal of Medicine Jul 5;345(1):3-8.
15. Macones, G.A.; Hausman, N.; Edelstein, R. et al. (2001) Predicting outcomes of trials of labor in women attempting vaginal birth after cesarean delivery: a comparison of multivariate methods with neural networks. American Journal of Obstetrics and Gynecology 184;409–413.
16. Macones, G.A.; Cahil, A.G.; Pare, E. et al. (2005) Obstetric outcomes in women with two prior cesarean deliveries: is vaginal birth after cesarean delivery a viable option? American Journal of Obstetrics and Gynecology 192;1223–1229.
17. Martin, J.N.; Perry, K.G.; Roberts, W.E. et al. (1997) The case for trial of labor in the patient with a prior low-segment vertical cesarean incision. American Journal of Obstetrics and Gynecology 177;144–148.
18. McMahon, M.J.; Luther, E.R.; Bowes, W.A. et al. (1996) Comparison of a trial of labor with an elective second cesarean section. The New England Journal of Medicine 335;689–695.
19. Sarı, M.; Yılmaz, N.; Kındıroğlu, N. (1993) Sezeryan Sonrası Vaginal Doğum Sonuçlarımız. Türkiye Klinikleri Journal of Obstetrics and Gynecology 3;2
20. Silver, R.M.; Landon, M.B.; Rouse, D.J. et al. (2006) Maternal morbidity associated with multiple repeat cesarean deliveries. Obstetrics and Gynecology 107;1226-1232.
21. Şengül R. Sezaryen Sonrası Vaginal Doğum (SSVD) ), http://www.gebeyim.com/indexmakale.php?ti d=221&eid=4 son erişim tarihi:01.10.2007
22. …………..Doğum Eylemi yönetim rehberi. son erişim tarihi:01.10.2007
23. Türkiye Nüfus Sağlık Araştırması 2003, http://www.hips.hacettepe.edu.tr/tnsa2003/index. htm, son erişim tarihi:01.10.2007
24. Troyer, L.R.; Parisi, V.M. (1992) Obstetric parameters affecting success in a trial of labor: designation of a scoring system. American Journal of Obstetrics and Gynecology 169;1076–1077
25. Varner, M.W.; Leindecker, S.; Spong, C.Y. et al. (2005) The maternal-fetal medicine unit cesarean registry: trial of labor in a twin gestation. American Journal of Obstetrics and Gynecology 193;135–140.