title: [Spontaneus delivery after two previous caesarean sections - case report].
abstract: OBJECTIVE
  To demonstrate the higher risk of the uterine dehiscence/rupture in spontaneously delivering women with scared uterus.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Department of Obstetrics and Gynecology, General Teaching Hospital in Prague and First Medical School, Charles University.
  
  
  METHODS
  We demonstrate the risk of uterine dehiscence on the example of 36 year-old woman with two previous caesarean sections who decided to give birth spontaneously.
  
  
  CONCLUSIONS
  The scars on uterus are the risk factor for uterine dehiscence and rupture. In present, the rising number of caesarean sections leads to increasing number of women with scars on uterus. Despite the potential risk of scars on the uterus, small number of women with history of surgery on uterus plans to give birth spontaneously. We demonstrate the higher risk of the uterine dehiscence after spontaneous delivery in woman with history of two caesarean sections and successful conservative therapy.
authors.forename: P
authors.initials: P
authors.lastname: Šašková
authors.forename: T
authors.initials: T
authors.lastname: Fait
authors.forename: Z
authors.initials: Z
authors.lastname: Žižka
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology*; D011247:Pregnancy; D012306:Risk; D013529:Surgical Wound Dehiscence / Q000209:etiology; D014597:Uterine Rupture / Q000209:etiology*; D016064:Vaginal Birth after Cesarean / Q000009:adverse effects*
keywords: caesarean section pregnancy.; scared uterus; spontaneus delivery; uterine dehiscence; uterine rupture