Optimal Timing of Cesarean Delivery in Pregnant Women with Previous Cesarean Delivery

Abstract

Objectives: In this study, we aimed to determine the optimal fetal and maternal timing of Cesarean delivery in pregnant women with previous cesarean delivery. Material/Method: In the one-year study period, a total of 150 pregnant women with a singleton pregnancy and gestational age between 37-40 weeks were included in the study. The data of pregnant women and newborns were prospectively examined. Pregnant women were divided into three groups according to their gestational age: those within 37 weeks, those within 38 weeks, and those within 39 weeks. The initiation of active labor and the previous cesarean section in pregnant women with 37 and 38 weeks of gestation included in the study are indications for cesarean section. Those with a gestational age of 39 weeks are those who were given the day of planned cesarean section. In this group, the incision is a previous cesarean section. Gravida, parity, age information, additional diseases, and number of cesarean deliveries of pregnant women were recorded. Fetal and birth complications experienced during birth were recorded. One-minute and 5-minute Apgar scores, birth weights, gender, and need for intensive care of newborns were recorded. Results: Apgar scores at 1 minute and 5 minutes were significantly lower at 37 weeks compared to other weeks (p <0.001). Need for intensive care ranged from 45.5-68.2% between 37+0 and 37+6 weeks, 22.7-40.9% between 38+0 and 38+6 weeks, and 0-4.5% after 39 weeks. In the evaluation of the groups, it was observed that the median age value of the pregnants was significantly higher in the group with 38 weeks of gestation than in the groups with 37 and 39 weeks of gestation (p <0.001). Conclusıon: It was determined that the most appropriate gestational week for delivery time in pregnant women with cesarean history was 39 weeks and later.