Results of operative obstetrical activity in modern obstetrics
Vladislav Ivanovich Krasnopol’skiy , Lidiya Sergeevna Logutova , Svetlana Nikolaevna Buyanova , Marina Aleksandrovna Chechneva , Ketsvan Nodarievna Akhlediani
Journal of obstetrics and women's diseases ›› 2015, Vol. 64 ›› Issue (2) : 53 -58.
Results of operative obstetrical activity in modern obstetrics
Cesarean section (CS) is the most widespread operation despite of high frequency of intra and post operational complications as opposed to spontaneous delivery. The aim of investigation (objective) is the analysis of outcomes of CS in every stages during and after CS. Material and methods. There is a retrospective analysis of 675 patients after CS. 60 women after pregnancy; 75 patients with insolvent scar after previous CS during planning of the next pregnancy; 540 scarred pregnant women in term and 24 pregnant women with implantation in the scar. Results. The application of the secondary sutures is indicated in the case of insufficient sutures on the uterine wall. The metroplastic operation is indicated during the next pregnancy. The insufficiency of the previous uterine scar is the indication for CS in more than 70 %. The earliest diagnosis of the localization of the placenta in the scar is desirable. The most cautious method of pregnancy interruption should be used with immediate or postponed metroplastic.
cesarean section / endometritis / unsound scar of the uterus / secondary scars / pregnancy with implant localization in the previous scar on the uterus
Krasnopol’skiy V.I., Logutova L.S., Buyanova S.N., Chechneva M.A., Akhlediani K.N.
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