Abstract
Background Natural childbirth could represent a deeply rooted need for
many women, even in exceptional situations such as after 3 previous caesarean
sections.
Case presentation The first patient, a 28-year-old 6th gravida
and 3rd para, first presented in the 40+3 week of pregnancy
desiring a vaginal birth, after all the other hospitals in the area had refused
her request. A detailed explanation of potential risks was given and, when 2
days later contractions started, she gave birth to a newborn of 4450 g
spontaneously, without complications. A month later, a second woman, 42 years
old, 5th gravida, 3rd para, read about the above-mentioned
case on social media and decided to attempt a natural delivery after 3 caesarean
sections at our hospital as well. She presented herself for the first time in
the 41+1 week of pregnancy in our delivery room with an onset of labor
after rupture of the membranes and gave birth on the same day, spontaneously
without complications, to a 4150 g heavy healthy newborn.
Conclusions The wish to attempt a spontaneous birth after 3 previous
caesarean sections can be deeply anchored and should be professionally
approached by obstetricians, even if counseling and management can be
challenging.
Key words
Natural childbirth - cesarean section - vaginal birth after cesarean section - uterine rupture - uterine scar - social media
