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  • Natural childbirth with a scar on the uterus: clinical practice

    Редактор | 2023, Original articles, Practical medicine part 21 №2. 2023 | 18 марта, 2023

    L.V. SAVINA1, 2, 3, А.G. YASHCHUK1, A.V. MASLENNIKOV1, A.M. SAVIN2

     1Bashkir State Medical University, Ufa

    2Republic Clinical Perinatal Center, Ufa

    3Children’s Polyclinic No. 6, Ufa

     Contact details:

    Savina L.V. — postgraduate student of the Department of Obstetrics and Gynecology, obstetrician-gynecologist, chief medical officer

    Address: 3 Lenin St., Ufa, Russian Federation, 450000, tel.: +7-937-835-73-93, e-mail: savinaliana091286@mail.ru

    The article presents the clinical experience of conservative delivery of 1124 women with a scar on the uterus at Republican Clinical Perinatal Center in Ufa. It was established that a woman’s age less than 40 years, certain indications for the previous caesarean section and the absence of indications for the previous cesarean section at this gestation, the history of vaginal delivery, the development of spontaneous labor should be considered criteria associated with the success of «trial» births. Pregnant women who meet these criteria can be delivered through the natural birth canal. Such a tactic allows avoiding unnecessary caesarean sections and improving maternal morbidity and mortality.

    Key words: caesarean section, uterine scar, childbirth with a scar on the uterus.

    REFERENCES

    1. Kurtser M.A., Breslav I.Yu., Barykina O.P. et al. Spreading of the scar on the uterus after caesarean section. Akusherstvo i ginekologiya, 2022, no. 2, pp. 59–64 (in Russ.).
    2. Nkwabong E., Nelson Fomulu J.N, Lionel F. et al. Trial of Labor After Cesarean Section Among Women with Unique Lower Segment Scarred Uterus and Fetal Weight >3500 g: Prognostic Factors for a Safe Vaginal Delivery. J Obstet Gynaecol India, 2016, vol. 66 (1), pp. 202–206. DOI: 10.1007/s13224-015-0835-1
    3. Place K., Kruit H., Tekay A. et al. Success of trial of labor in women with a history of previous cesarean section for failed labor induction or labor dystocia: a retrospective cohort study. BMC Pregnancy Child birth, 2019, vol. 19 (1), p. 176. DOI: 10.1186/s12884-019-2334-3
    4. Valentin L. Prediction of scar integrity and vaginal birth after caesarean delivery. Best Pract Res Clin Obstet Gynaecol, 2013, vol. 27 (2), pp. 285–295. DOI: 10.1016/j.bpobgyn.2012.09.003
    5. Eden K.B. New insights on vaginal birth after cesarean: can it be predicted? Obstet Gynecol, 2010, vol. 116 (4), pp. 967–981. DOI: 10.1097/AOG.0b013e3181f2de49
    6. Hautakangas T.M., Uotila J.T., Huhtala H. et al. How does uterine contractile activity affect the success of trial of labour after caesarean section, and the risk of uterine rupture? An exploratory, blinded analysis of a cohort from a randomised controlled trial. BJOG, 2022, vol. 129 (6), pp. 976–984. DOI: 10.1111/1471-0528.17005
    7. Zhang H., Liu H., Luo S. et al. Oxytocin use in trial of labor after cesarean and its relationship with risk of uterine rupture in women with one previous cesarean section: a meta-analysis of observational studies. BMC Pregnancy Childbirth, 2021, vol. 21 (1), pp. 11. DOI: 10.1186/s12884-020-03440-7
    8. Rossiyskoe obshchestvo akusherov-ginekologov. Posleoperatsionnyy rubets na matke, trebuyushchiy predostavleniya meditsinskoy pomoshchi materi vo vremya beremennosti, rodov i v poslerodovom periode. Klinicheskie rekomendatsii [Russian Society of Obstetricians and Gynecologists. Postoperative scar on the uterus, requiring the provision of medical care to the mother during pregnancy, childbirth and the postpartum period. Clinical guidelines]. Moscow, 2021.
    9. Wang L.L., Chen J.Y., Yang H.X. et al. Correlation between uterine scar condition and uterine rupture for pregnancy women after previous cesarean section. Zhonghua Fu Chan Ke Za Zhi, 2019, vol. 54 (6), pp. 375–380. DOI: 10.3760/cma.j.issn.0529-567x.2019.06.004
    10. Rozenberg P., Sénat M.V., Deruelle P. et al. Evaluation of the usefulness of ultrasound measurement of the lower uterine segment before delivery of women with a prior cesarean delivery: a randomized trial. Am J Obstet Gynecol, 2022, vol. 226 (2), pp. 253.e1–253.e9. DOI: 10.1016/j.ajog.2021.08.005

    Метки: 2023, A.G. YASHCHUK, A.M. SAVIN, A.V. MASLENNIKOV, caesarean section, childbirth with a scar on the uterus, L.V. SAVINA, Practical medicine part 21 №2. 2023, uterine scar

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