Caracterización del trabajo de parto en pacientes con antecedente de cesárea previa

Abstract

INTRODUCTION: Over the years, an indiscriminate prescription of cesarean section has been observed without scientific basis, which has generated an important impact on morbidity as well as on the costs destined to the health of the maternal-fetal binomial. Because of this, the option of vaginal delivery after cesarean section is proposed worldwide, since it has been documented that in pregnant women with this obstetric history and who are free of contraindications, the option of attempting labor is safe. OBJECTIVE: To demonstrate that labor is a technical criterion in patients with previous cesarean section by reviewing the literature for a better consensus in decision making. METHOD: A search of scientific articles published in medical journals and pages based on scientific evidence, such as PubMed, Elsevier, Scielo, Google Scholar, was performed, considering those published in the last five years and the most relevant in relation to the subject matter. CONCLUSIONS: Labor is a technical criterion in patients with previous cesarean section, considering the individual risks and benefits of the patients. Additionally, considering the Grobman score as a selective criterion in antenatal decision making, together with ultrasound measurement of the lower uterine segment, increases the probability of a successful post cesarean vaginal delivery with a minimal risk of complications.