The Obstetrics Outcomes of Vaginal Birth After Cesarean Section in a Cohort with High Induction of Labor Rate

Abstract

146 In recent decades, cesarean section (CS) rates have increased in both developed and developing countries. The World Health Organization (WHO) recommends 10-15% as suitable CS rates; however, the rate in Turkey is 52%.1,2 This rise may be attributed to the several changes in the practice environment, including the decreased proportion of operative vaginal deliveries and increased use of electronic fetal monitoring. Likewise, malpractice fears, patient preferences, and demographic factors have influenced this increase in CS rates.3 Furthermore, the belief that “once cesarean, always a cesarean” is related to high rates of planned repeat CS.4 This misconception can cause adverse maternal outcomes and complications in future pregnancies, such as hemorrhages, infections, visceral organ injuries, transfusions, and need for hysterectomies because of abnormal placentation.5