VIA DE PARTO EM SECUNDIGESTAS COM GESTAÇÃO ÚNICA E A TERMO, APÓS UMA CESÁREA PRÉVIA

Abstract

Objective: Evaluate which route of delivery were more used in women with a previous cesarean section. Methods: It was performed a descriptive, retrospective research with a quantitative and qualitative approach. Medical records were analyzed from pregnants with a single and on term gestation, which gave birth from January 2013 to January 2015, in an intermediate size and high complexity hospital from Anapolis – Goias, Brazil. Results: The study showed that of 333 analyzed pregnants, 313 (93,99%) underwent cesarean delivery way while 20 (6,01%) were submitted to natural childbirth. It was observed that the main election criteria was to have been submitted to a previous cesarean section. Besides that, there was no significant statistical difference in neonatal and maternal morbidity and mortality between the delivery way. The needing of neonatal reanimation was more common in those vaginal birth neonates. Conclusion: It was concluded that, besides the current discussion about the risks of another cesarean after a previous cesarean section, there is a higher prevalence of this way compared to vaginal birth. Was observed that the maternal and neonatal complications profile, in both delivery ways, was similar, however a study with equivalent samples is needed, for better inferences about the safety of a delivery way compared to the other one. It is important to emphasize the need to base the choice of the delivery way in scientific evidence to minimize the risk and maximize the benefits to mother and neonate.

Keywords

• Parturition
• Cesarean section
• Natural childbirth