POSSIBILITY OF GEARING PREGNANCY AFTER METROPLASTY PERFORMED FOR ANOMALIES OF PLACENTA ATTACHMENT
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Abstract
The aim of the research – to study the course of pregnancy and birth outcomes in pregnant women with a uterine scar after previous metroplasty for abnormal placental attachment.
Materials and methods: We examined 40 patients with repeat pregnancies after metroplasty for abnormal placental attachment in a previous pregnancy. The patients were divided into 2 groups depending on the type of placenta insertion in the current pregnancy. An analysis of anamnestic and clinical data was carried out.
Results: As a result of the selection from a large amount of anamnestic data and examination results, the most statistically significant independent risk factors for recurrent abnormal placentation were: the serial number of pregnancy at the time of cesarean section and the presence of anemia.
Conclusion: The developed nomogram for predicting the risk of developing placenta accreta after undergoing metroplasty for placenta accrete spectrum allows us to predict the possibility of abnormal placentation in a new pregnancy with 41.2 % positive and 100 % negative results.
Keywords
Author Biographies
Сергей Владимирович Баринов,
Sergey V. Barinov
Doctor of medical sciences, professor, head of department obstetrics and gynecology N 2
Юлия Игоревна Тирская,
doctor of medical sciences, docent, professor of the department of obstetrics and gynecology N 2Татьяна Владимировна Кадцына,
candidate of medical sciences, docent of the department of obstetrics and gynecology N 2Оксана Вячеславовна Лазарева,
candidate of medical sciences, docent of the department of obstetrics and gynecology N 2Юрий Игоревич Чуловский,
candidate of medical sciences, docent, docent of the department of obstetrics and gynecology N 2Ольга Александровна Яковлева,
applicant of the department of obstetrics and gynecology N 2Евгения Сергеевна Надежина,
applicant of the department of obstetrics and gynecology N 2Article Details
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The authors declare that they have no apparent or potential conflicts of interest related to the publication of this article.
This work is licensed under a Creative Commons Attribution 4.0 License.
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