SEZARYEN SONRASI HER HASTAYA NORMAL VAJİNAL DOĞUM DENENEBİLİR Mİ?

‘Bir defa sezaryen hep sezaryen’ deyişi daha sonra ilerleyen yıllarda değişmiş ve obstetrik pratikte sezaryen sonrası normal vajinal doğum hem çocuk hem de anne için güvenli şekilde uygulanmaya başlanmıştır. Sezaryen sonrası normal vajinal doğum, sezaryen ile doğum insidansını azaltmak amaçlı denenmeye başlanmıştır. Klinikte pratik olarak 1980’li yıllarda ilk olarak uygulanmaya başlanmıştır. Sezaryen sonrası normal vajinal doğum başarısı, maternal yaş, vücut kitle indeksi, postmaturite, önceden birden fazla sezaryen hikayesi, makrozomi, doğum indüksiyonu, grandmultiparite gibi durumlardan etkilenebilir. Bu yazımızda sezaryen sonrası normal vajinal doğum başarısını etkileyen faktörleri, uterin rüptür risklerini, maternal-neonatal sonuçlarını ve sezaryen sonrası normal doğum için uygun hasta seçimi ile ilgili konuları tartıştık.

Anahtar Kelimeler:

Sezaryen sonrası normal vajinal doğum, maternal-fetal sonuçlar

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