Rezumat: Introduction. The objective of the study is to present the
experience of ”Filantropia” Hospital regarding vaginal
delivery after Caesarean-section and to analyze the
circumstances when it can be performed. Materials and
methods. We conducted a retrospective study of the births
performed in ”Filantropia” Hospital in women with previous
Caesarean-section over a period of 6 months, between
January 1st 2014 and June 30th 2014. We used Excell to
analyze the data regarding the general characteristics
of the group and the outcomes. Results. 1557 births
were recorded in the studied interval. 700 Caesareansections
(47.2%) were performed; an increase in the rate
of Caesarean-section was noted (from 31.6% in 2003),
which is according to the world trend of this rate. From the
total number of Caesarean-sections, 27% were performed
due to previous Caesarean section. In 5 cases the uterine
scar was opened and there was one case of placenta
increta that required Caesarean hysterectomy. 6 patients
with previous Caesarean section had vaginal delivery.
Conclusions. Previous Caesarean-section remains the most
frequent reason for Caesarean birth in our study. Proper
counselling of the patients and national guidelines that
regulate the management of these patients could increase
the number of vaginal birth after a Caesarean-section. Cuvinte cheie: caesarean-section, Romania, scar uterus, birth.