DELIVERY OUTCOMES AFTER A SINGLE CESAREAN SECTION: A RETROSPECTIVE ANALYSIS OF RISK FACTORS AND OBSTETRIC OUTCOMES

Abstract

Aim of the study. To evaluate the delivery outcomes and associated factors in pregnant women after a single cesearean section (CS). Methods. A retrospective study was conducted, including women with one previous CS who delivered from 1 January 2023 to 31 December 2024. The analysis included pregnancy complications, course of labour, delivery-related complications, and neonatal outcomes. Results. A total of 414 cases were analyzed. The first group consisted of 253 (61.1 %) women who had a successful vaginal delivery after one previous CS, whereas the second group included 161women (38.9 %) who underwent repeat CS. Women who had vaginal births before (n = 30 and n = 5, p = 0.002) or after (n = 61 and n = 10, p < 0.001) their previous CS were significantly more likely to deliver successfully via vaginal birth. Neonates in the vaginal delivery group had higher Apgar scores at 1 and 5 compared to the repeat CS group. Conclusions. Successful delivery following a single cesarean is associated with a prior pregnancies and births, a history of vaginal deliveries, and spontaneous onset of labor. Delivery complications occur significantly more often in women requiring an urgent repeat cesarean section.