title: [Ways of delivery after cesarean section].
abstract: OBJECTIVE
  To analyse deliveries after a previous cesarean section.
  
  
  METHODS
  The way of birth of 262 patients between 1993-1995 in the Ist Department of Obstetrics and Gynaecology of Warsaw University Hospital was analysed. Material was divided into two groups: an elective cesarean section operation was performed on 117 women, while 145 women underwent a trial of labour.
  
  
  RESULTS
  The most common indications for an elective cesarean section were fetal distress and maternal diseases. A trial of vaginal delivery was successful in 55.2%. The repeated operation was performed on 44.8% of women. The most frequent indication for a cesarean section during a trial of labour was failure to progress.
  
  
  CONCLUSIONS
  Women after a previous cesarean section, who underwent a trial of labour delivered vaginally in 55.2%-30.5% of all the patients in the analysed material. The indications for the repeated operation were the same as for the first one in 27% of the cases.
authors.affiliation: I Katedry i Kliniki Połoznictwa i Ginekologii Akademii Medycznej w Warszawie.
authors.forename: J
authors.initials: J
authors.lastname: Szachułowicz
authors.forename: A
authors.initials: A
authors.lastname: Karwan-Płońska
authors.forename: A
authors.initials: A
authors.lastname: Balcer
authors.forename: B
authors.initials: B
authors.lastname: Donarska-Suchońska
authors.forename: W
authors.initials: W
authors.lastname: Mielczarek
mesh_terms: D005260:Female; D006801:Humans; D007744:Obstetric Labor Complications; D011247:Pregnancy; D016064:Vaginal Birth after Cesarean