On delivery in pregnant women with a uterine scar

Баринов, С. В.; Bindyuk, A. V.; Ralko, V. V.; Grebenyuk, O. A.; Ilyinykh, I. M.

doi:10.17116/rosakush201515429-33

Cited by 4 publications

(1 citation statement)

References 4 publications

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“…Увеличившееся за последние 10 лет как в России, так и во всем мире количество операций кесарева сечения несет определенные риски в послеоперационном периоде (гематомы и кровоизлияние, инфекция, тромбоз яичниковой вены, расщепление матки и разрыв) [1,2] при планировании и вынашивании последующих беременностей, в том числе увеличение количеств рубцовых эктопических беременностей, placenta accreta [3][4][5][6][7] и аномально расположенную плаценту [8]. В России частота кесарева сечения составляет 16-27 % [9], наибольшее число оперативного родоразрешения происходит на III уровне 35-40 %, а в специализированных научных центрах может доходить до 70 %. Согласно данным многих исследователей, за последние десятилетия отмечается неуклонный рост абдоминального родоразрешения: с 5,8 % в 1970 г. до 49,7 % в 2015 г.…”

Section: Introductionunclassified

“Slow” Cesarean Section by Inconsistent Corporal Scar (Clinical Case)

Сафиуллин

Мусин

Molokanova

2018

Kreativnaâ hirurgiâ i onkologiâ

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Introduction. Increasing the initial number of caesarean delivery operations involves certain risks when planning and carrying subsequent pregnancies. Despite the trend towards operative childbirth being gradually being replaced by natural, the frequency of recurrent caesarean is higher than the prevailing rate due to scar inconsistency and the presence of a “classic” (corporal) scar on the uterus. The use of corporal access to date is gradually being replaced by less traumatic access. The operation of “slow” caesarean section is considered as an alternative approach to surgical delivery.Purpose and objectives. To analyse the operation of “slow” caesarean section in the presence of corporal scars on the uterus.Materials and methods. The resulted clinical case of incomplete rupture of the uterus by corporal scar in the second pregnancy at a period of 38 weeks. Corporal scarring as a result of caesarean operations in the case of interruption of first pregnancy at a period of 22–23 weeks.Results. The patient was discharged in a satisfactory condition on the 5th day with the child. Postoperative period without complications; results of analyses performed prior to discharge within normal limits.Discussion. The conducted corporal incision at the first pregnancy was inexpedient due to presenting increased risks in subsequent pregnancies. For the termination of pregnancy in the second trimester, it was necessary to consider therapeutic methods, the operations of a minor caesarean section or a caesarean section in the lower segment of the uterus.Conclusion. Conducting “slow” caesarean section has the following advantages over classic caesarean section: soft adaptation of the foetus to environmental conditions, purification of the mucous oropharynx of the foetus, establishing a stronger bond between the mother and her future child. In future, we plan to conduct a clinical evaluation of children delivered through a “slow” caesarean section.

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Section: Introductionunclassified

“Slow” Cesarean Section by Inconsistent Corporal Scar (Clinical Case)

Сафиуллин

Мусин

Molokanova

2018

Kreativnaâ hirurgiâ i onkologiâ

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Prediction of vaginal delivery in pregnant women with a uterine scar

Баринов¹,

Bindyuk²,

Ralko³

et al. 2016

Ross. vestn. akush.-ginekol.

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Metroplasty in the delivery of pregnant women with a history of two cesarean sections

Tarasova,

Musin,

Yaschuk

et al. 2024

V.F.Snegirev Archives of Obstetrics and Gynecology

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The purpose of our study is to evaluate the effectiveness of metroplasty at the stage of abdominal delivery in women with a history of two cesarean section operationsMaterials and methods. From 2020 to 2022, 150 pregnant women were examined. The patients were divided into 3 groups: the first group - pregnant women with a history of cesarean section, the second group – pregnant women with two cesarean sections. In these groups, metroplasty was performed at the stage of delivery. The third control group consisted of pregnant women with a history of two cesarean sections who underwent surgical delivery without excision of scar tissue in the lower segment.Metroplasty was performed before fetal extraction with a whole fetal bladder in accordance with the patent "Method of metroplasty during operative delivery in women with two or more cesarean sections".In order to study the dynamics of changes in scar thickness, all women underwent ultrasound examination 2 hours later, on the third day after delivery, and 6 months after delivery.The results of the study. Resection of the scar area on the uterus during repeated cesarean section improves the residual thickness of the myometrium, which is determined by ultrasound 6 months after surgery. This technique allows you to form a functionally consistent scar on the uterus after two cesarean section operations.

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On delivery in pregnant women with a uterine scar

Cited by 4 publications

References 4 publications

“Slow” Cesarean Section by Inconsistent Corporal Scar (Clinical Case)

“Slow” Cesarean Section by Inconsistent Corporal Scar (Clinical Case)

Prediction of vaginal delivery in pregnant women with a uterine scar

Metroplasty in the delivery of pregnant women with a history of two cesarean sections

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