Main Article Content

Сергей Владимирович Баринов
Татьяна Владимировна Кадцына
Юлия Игоревна Тирская
Оксана Вячеславовна Лазарева
Юрий Игоревич Чуловский
Юлия Анатольевна Ковалева
Алена Игоревна Ермакова

Abstract

The article describes the clinical observation of repeated surgical delivery in a woman who has a scar on the uterus after 6 cesarean sections and 3 metroplastics, and demonstrates the effectiveness of the combined method of surgical treatment with placenta accreta. The proposed technology of delivery of pregnant women with placenta accreta allows performing organ-preserving surgery with a decrease in the volume of blood loss. The original method of suturing the wound on the uterus allows forming a full-fledged scar on the uterus after a cesarean section and carrying a second pregnancy to term.

Keywords

placenta accrete, cesarean section, massive bleeding, organ-preserving treatments, two-Ballon Zhukovsky tamponade, a scar on the uterus

Author Biographies

Сергей Владимирович Баринов,


Sergey V. Barinov

Doctor of medical sciences, professor, head of department obstetrics and gynecology N 2

Татьяна Владимировна Кадцына,
candidate of medical sciences, docent, docent of the department of obstetrics and gynecology N 2
Юлия Игоревна Тирская,
doctor of medical sciences, docent, professor of the department of obstetrics and gynecology N 2
Оксана Вячеславовна Лазарева,
candidate of medical sciences, docent, docent of the department of obstetrics and gynecology N 2
Юрий Игоревич Чуловский,
candidate of medical sciences, docent, docent of the department of obstetrics and gynecology N 2
Юлия Анатольевна Ковалева,
head of the obstetrics department of pathology of pregnant women
Алена Игоревна Ермакова,
doctor of the obstetrics department of pathology of pregnant women

Article Details

Information about financing and conflict of interests

The study had no sponsorship.
The authors declare that they have no apparent or potential conflicts of interest related to the publication of this article.

How to Cite

Баринов, С. В., Кадцына, Т. В., Тирская, Ю. И., Лазарева, О. В., Чуловский, Ю. И., Ковалева, Ю. А., & Ермакова, А. И. (2025). CLINICAL MANAGEMENT AND DELIVERY OF A PREGNANT WOMAN WITH A UTERINE SCAR FROM SIX CESAREAN SECTIONS A METROPLASTY. Mother and Baby in Kuzbass, 26(1), 102-109. https://doi.org/10.24412/2686-7338-2025-1-102-109

References

Vinickij AA, SHmakov RG, CHuprynin VD. Comparative assessment of the effectiveness of surgical hemostasis methods during organ-preserving delivery in patients with placenta accreta. Obstetrics and gynecology. 2017; (7): 68-74. Russian (Виницкий А.А., Шмаков Р.Г., Чупрынин В.Д. Сравнительная оценка эффективности методов хирургического гемостаза при органосохраняющем родоразрешении у пациенток с врастанием плаценты //Акушерство и гинекология. 2017. № 7. С. 68-74.) doi: 10.18565/aig.2017.7.68-74

Cowan AD, Miller ES, Grobman WA. Subsequent pregnancy outcome after B-lynch suture placement. Obstet Gynecol. 2014; 124(3): 558-561. doi: 10.1097/AOG.0000000000000418

D’Antonio F, Palacios-Jaraguemada J, Lim PS, Forlani F, Lanzone A, Timor-Tritsch I, Cali G. Counseling in fetal medicine: evidence-based answers to clinical questions on morbidly adherent placenta. Ultrasound Obstet Gynecol. 2016; 47(3): 290-301. doi: 10.1002/uog.14950

Kurcer MA, Breslav IYu, Evteev VB, Normantovich TO, Spiridonova EI, Platitsin IV, et al. Comparative characteristics of endovascular methods of stopping bleeding in placenta accreta. Gynecology, Obstetrics and Perinatology. 2017; 16(5): 17-24. Russian (Курцер М.А., Бреслав И.Ю., Евтеев В.Б., Нормантович Т.О., Спиридонова Е.И., Платицин И.В., и др. Сравнительная характеристика эндоваскулярных методов остановки кровотечения при placenta accreta //Вопросы гинекологии, акушерства и перинатологии. 2017. Т. 16, № 5. С. 17-24.) doi: 10.20953/1726-1678-2017-5-17-24

Palacios-Jaraquemada JM. Caesarean section in cases of placenta praevia and accreta. Best Pract Res Clin Obstet Gynaecol. 2013; 27(2): 221-232. doi: 10.1016/j.bpobgyn.2012.10.003

Silver RM. Abnormal Placentation: Placenta Previa, Vasa Previa, and Placenta Accreta. Obstet Gynecol. 2015; 126(3): 654-668. doi: 10.1097/AOG.0000000000001005

Vintzileos AM, Ananth CV, Smulian JC. Using ultrasound in the clinical management of placental implantation abnormalities. Am Obstet Gynecol. 2015; 213(4 Suppl): S70-7. doi: 10.1016/j.ajog.2015.05.059

Barinov SV, Zhukovsky YG, Dolgikh TI, Medyannikova IV. Novel combined strategy of obstetric haemorrhage management during caesarean section using intrauterine balloon tamponade. J Matern Fetal Neonatal Med. 2015; 30(1): 1-21. doi: 10.3109/14767058.2015.1126242

Tanaka M, Matsuzaki S, Kakigano A, Kumasawa K, Ueda Y, Endo M, Kimura T. Placenta accrete following hysteroscopic myomectomy. Clin Case Rep. 2016; 4(6): 541-544. doi: 10.1002/ccr3.562

Barinov S, Tirskaya Y, Medyannikova I, Shamina I, Shavkun I. A new approach to fertility-preserving surgery in patients with placenta accreta. J Matern Fetal Neonatal Med. 2019; 32(9): 1449-1453. doi: 10.1080/14767058.2017.1408066

Dildy GA, Belfort MA, Adair CD, Destefano K, Robinson D, Lam G, et al. Initial experience with adual-balloon catheter for the management of postpartum hemorrhage. Am J Obstet Gynecol. 2014; 210(2): 136. doi: 10.1016/j.ajog.2013.09.015

Wei J, Dai Y, Wang Z, Gu N, Ju H, Xu Y, et al. Intrauterine double-balloon tamponade vs gauze packing in the management of placenta previa: A multicentre randomized controlled trial. Medicine (Baltimore). 2020; 99(7): e19221. doi: 10.1097/MD.0000000000019221

Revert M, Rozenberg P, Cottenet J, Quantin C. Intrauterine Balloon Tamponade for Severe Postpartum Hemorrhage. Obstet Gynecol. 2018; 131(1): 143-149. doi: 10.1097/AOG.0000000000002405

Downloads

Download data is not yet available.

Most read articles by the same author(s)

1 2 3 > >>