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Jul 2016, Vol 4, Issue 3
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Case Report
Vaginal Birth After Repeated Cesrean Section: A Case Report
Necmi Arslan1, Erkan Kibrisli1, Fatih Mehmet Findik2, Ahmet Yilmaz1, Hamza Aslanhan1
1Department of Family Medicine, Faculty of Medicine, University of Dicle, Diyarbakir, Turkey
2Department of Obstetrics and Gynecology, Faculty of Medicine, University of Dicle, Diyarbakir, Turkey

IJWHR 2016; 4: 146–148
DOI: 10.15296/ijwhr.2016.33
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Keywords : Cesarean section, Complication, Vaginal birth
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Abstract
Introduction: Cesarean section is a risky procedure. In most of the world, trial of vaginal birth after cesarean section (VBAC) is suggested and performed. In this case report, we aimed to show the possibility of vaginal labor in a patient who underwent repeated cesarean section and to review the risk of cesarean section.

Case Presentation: A female patient aged 32 years, who had cesarean section three times (gravida 5, parity 3, abortion 1) with 3 children, came to the delivery service when she went into final labor pain. On examination, it was seen that there was full dilatation of cervix and the fetus was in the vertex position. With episiotomy given and normal spontaneous vaginal delivery, a live baby boy of 3280 grams, 50 cm and Apgar score of 6-8 ( at first and fifth minutes) was delivered. Having normal vital findings, the patient was discharged from the hospital on these conditions postpartum day 1.

Conclusion: Cesarean section increases maternal, prenatal mortality and morbidity. In health centers which have operative conditions, the option of normal spontaneous delivery should not be ignored for appropriate pregnant women.

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