VAGINAL BIRTH IN WOMEN WITH A SCAR ON THE UTERUS
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Abstract
Objective. To analyze the outcomes of childbirth in women with a scar on the uterus after cesarean section and myomectomy.
Material and methods. A retrospective analysis of 1633 births in women with a scar on the uterus that occurred in the perinatal center over three years (2018-2020) was carried out.
Results. According to Robson's classification, 833 women were assigned to group 5.1, which amounted to 51 % of all those with a scar on the uterus. Group 5.2 included 507 women (31 %). In total, there were 1340 (82.1 %) women who gave birth with a scar on the uterus after KS operation; after myomectomy, there were 293 (17.9 %) patients. 220 pregnant women were prepared for vaginal delivery, while vaginal delivery was performed in 191 pregnant women with a scar on the uterus (86.8 % of the prepared women). A scar on the uterus after one CS operation was observed in 177 (92.1 %) pregnant women, after two CS – in 9 (4.7 %), after myomectomy – in 9 (4.7 %) patients.
Conclusion. 86.9 % of women with a scar on the uterus, selected for labor through the vaginal birth canal were successfully delivered. Weakness of labor activity developed in 7.2 % of cases, fetal hypoxia – in 5.9 %, which required a revision of the labor management plan in favor of cesarean section. The results obtained allowed us to conclude that the main reserve for reducing the frequency of CS is the rational selection of patients for induction of labor, delivery of women with a scar on the uterus by the vaginal route.
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Author Biographies
Елена Николаевна Кравченко, Omsk State Medical University, Omsk
Doctor of medical sciences, professor, head of chair of obstetrics and gynecology
Лариса Владимировна Куклина, Omsk State Medical University
candidate of medical sciences, docent of the department of obstetrics and gynecologyСофья Сергеевна Синицына, Municipal Clinical Perinatal Center, Omsk
candidate of medical sciences, deputy chief physician for clinical expert workГалина Федоровна Рублева, Municipal Clinical Perinatal Center, Omsk
obstetrician-gynecologist, head of the maternity ward N 1 with an operating unitМарина Павловна Владимирова, Municipal Clinical Perinatal Center, Omsk
obstetrician-gynecologist, head of the pregnancy pathology departmentReferences
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