Is it possible to have normal birth after cesarean section?

Is it possible to have normal birth after cesarean section?

cesarean delivery rate in Turkey is very high. For this reason, most babies are born by cesarean section. However, there are many mothers who want to have a normal birth experience after cesarean section. Is that possible? The answer to this question Gynecology and Obstetrics Specialist at Yeditepe University Hospital Dr. View Cem's Full Profile Giving.

: Who is suitable for normal birth after cesarean section?
Professor Dr. Cem Ficicioglu:
• Those who had previously had a caesarean section once and with a lower segment transverse incision (however, the previous caesarean section should not be present this time;
• Pelvic structure suitable for normal birth,
• Have not experienced any other surgical or rupture related to uterus,
• Pregnant women who will give birth in a center where it is possible to decide and apply an emergency cesarean section can easily give birth while having previously had a caesarean section.

: Who is not eligible?
Professor Dr. Cem Ficicioglu:
• If there is a maternal age older than 40 years,
• Pregnant women older than 40 weeks (Postdate)
• If there is macrosomy, (Large baby)
• Gestational or overt diabetes (Pregnancy diabetes)
• If normal birth is not considered suitable for other known obstetric reasons?

: Are there advantages to the mother after normal cesarean delivery?
Professor Dr. Cem Ficicioglu:
• Normal delivery is always safer for mother and baby because surgery is avoided.
• The recovery time is much shorter and less complicated.
• The mother's contribution to the birth of her baby and emotional sharing is greater.
• The mother connects and takes care of the baby much earlier.
• Normal birth is more appropriate in terms of the country's economy.

: Is there a risk for mothers who prefer to have normal birth after cesarean section?
Professor Dr. Cem Ficicioglu:
• The scar tissue in the uterus flowing from the previous cesarean section is subjected to tension and load.
• Pelvic floor sagging and diseases are more common in the mother
• 20 to 40% of women who work normally after cesarean delivery will have no results and will be decided again by caesarean section.
• There is the possibility of infection and rupture in the uterus.

: Which points should mothers expect to give birth in this way?
Professor Dr. Cem Ficicioglu:
• This center should be a full-fledged surgical center and a qualified obstetrician should have a team with sufficient surgical experience and ability to intervene in case of complications such as uterine rupture.
• When it is decided that there can be no normal birth in the center or if there is a problem during normal delivery, there should be an immediate and rapid transition to cesarean section and anesthesia and neonatal intensive care facilities should be complete.
• The central blood bank should be a 24-hour center offering adult and newborn intensive care services, laboratory and imaging facilities.

: Is there a possibility of caesarean section if there is a danger during normal labor?
Professor Dr. Cem Ficicioglu:
• This possibility is always visible and available. Already the development and implementation of the idea of ​​normal birth after caesarean section is the possibility of switching to cesarean section in case of unsuccessful trial.

: What is the rate of normal birth after cesarean in Turkey?
Professor Dr. Cem Ficicioglu: This ratio is almost non-existent in our country. Most of the known cases are uncontrolled births due to late application or non-application of the mother. Of these uncontrolled cases, patients who fail to achieve normal birth after cesarean section and who come to hospitals with complications such as uterine rupture or bleeding are already recorded under other headings, not as a failure of normal birth after cesarean section. However, some of our centers experienced and experienced in obstetric and gynecological surgery perform this procedure in a single number of patients.