Introduction: In the last decade, the World has witnessed an increase in the number of caesarean sections. In Slovenia, the rate of caesarean deliveries rose from 7.3% in 1987 to 19.4% in 2011 and is currently at a level of 21%. The main contributors to this rise are caesarean deliveries in nulliparous women and women with previous caesarean deliveries. Trial of labour after caesarean could help lowering the overall proportion of caesareans sections. Purpose: The objective of this research was to analyse management of pregnant women with previous caesarean deliveries in Slovenian maternity units. acquired. Methods: The quantitative research method was used. We obtained data from the Slovenian National Perinatal Information System. Women with previous caesarean section (Group 5 according to the Ten Groups Classification System also known as the Robson’s Classification System) delivering in Slovenia between 2007 and 2012 were included in the analysis. Results: Overall, 5090 women were included in the analysis. In 41.1 % of cases, labour started spontaneously, in 5.9 % of cases labour was induced and in 53.0 % of cases caesarean section was performed before labour. Of all women included, 25.3 % delivered vaginally, while the rate of emergency caesarean section was 21.7 % (overall caesarean section rate 74.7 %). Rates of successful trial of labour after caesarean varied significantly between hospitals (51.8 % to 9,1 %). Discussion and conclusion: Approximately 47 % of Slovenian women who underwent a caesarean section in their previous pregnancy choose a trial of labour in their next pregnancy. Management of pregnancies after previous caesarean delivery varies significantly between different maternity hospitals.
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