Open AccessPerinatal risks at the repeated caesarean section and vaginal delivery in women with a uterine scar
Author(s) -
О. В. Кравченко,
V. A. Varvus
Publication year - 2014
Publication title -
bukovinsʹkij medičnij vìsnik
Language(s) - English
Resource type - Journals
eISSN - 2413-0737
pISSN - 1684-7903
DOI - 10.24061/2413-0737.xviii.2.70.2014.108
Subject(s) - medicine , uterine rupture , obstetrics , caesarean section , vaginal delivery , pregnancy , gynecology , fetus , uterus , biology , genetics
251 pregnant women were under observation with a uterine scar after previously performed cesarean section. 225 women were operated one more time. 26 women had delivery through natural genital tract (10 % of the pregnant women with a uterine scare). It was established that the delivery occurred physiologically due to the correct assessment of risk factors for vaginal birth in women with a uterine scar. The presence of uterine scar in the lower segment does not significantly affect the nature and duration of labor. An increased fetal weight at vaginal birth in women with a uterine scar to 300g does not increase obstetric and perinatal complications. Thus, the study has shown that an increase of complications such as placentation in the scar and scar failure is high risk of maternal and perinatal pathology in pregnancy with a uterine scar.