REAL POSSIBILITIES OF VAGINAL DELIVERY IN WOMEN WITH AN OPERATIONAL UTERUS
https://doi.org/10.51922/1818-426X.2025.1.115
Abstract
In recent years, there has been a significant increase in the frequency of delivery by cesarean section. The article reflects the results of vaginal delivery of 80 women with a scar after surgery on the uterus. The anamnesis, clinical data, features of the course and management of labor, the condition of newborns, the severity of blood loss during childbirth, and the course of the postpartum period were studied. The favorable outcome of childbirth in women with surgical trauma of the uterus, meeting the criteria allowing for vaginal delivery, was 72.4 %. Management of childbirth through the natural birth canal in women with surgical trauma of the uterus has a beneficial effect on reducing the frequency of complications both on the part of the mother and on the part of the newborn and contributes to the early restoration of maternal activity. Total blood loss and length of hospital stay after vaginal delivery were significantly less than after cesarean section. All mothers were discharged home in satisfactory condition. In the context of rapid development of medicine, it is important not only to carefully select patients who do not have absolute contraindications to vaginal delivery, but also to increase the number of such women using modern technologies.
About the Authors
S. N. TsarevaBelarus
Ya. G. Trukhanovich
Belarus
A. P. Kambur
Belarus
V. P. Tsarev
Belarus
References
1. Akusherstvo. Nacional'noe rukovodstvo / pod red. G. M. Savel'evoj, G. T. Suhih, V. N. Serova, V. E. Radzinskogo. – 2-e izd., pererab. i dop. – M.: GEOTAR-Media, 2015.
2. Strizhakov, A. N. Vozmozhno li snizit’ chastotu kesareva secheniya? / A. N. Strizhakov, T. F. Timohina, V. S. Belousova // Voprosy ginekologii, akusherstva i perinatologii. – 2013. – № 12(3). – S. 5–11.
3. Pekarev, O. G. Prognoz i perspektivy samoproizvol’nogo rodorazresheniya u zhenshchin s rubcom na matke posle operacii kesareva secheniya / O. G. Pekarev, I. M. Pozdnyakov, I. V. Majborodin, O. E. Pekareva // Akusherstvo i ginekologiya: novosti, mneniya, obuchenie. – 2015. – № 2. – S. 21–8.
4. Kurcer, M. A. Raspolzanie rubca na matke posle kesareva secheniya // Akusherstvo i ginekologiya. – 2022. – T. 2. – S. 59–64.
5. Operativnoe akusherstvo Manro Kerra / pod obshch. red. M. A. Kurcera; per. s angl. P. I. Medvedevoj. – M.: Rid Elsiver, 2015. – S. 181–189.
6. Bozorova, H. Issledovanie pacientov s rubcom na matke s pomoshch’yu obshchih klinicheskih issledovanij / H. Bozorova, M. Mirzabekova, G. B. Arzieva // Innovacionnye issledovaniya v sovremennom mire: teoriya i praktika. – 2024. – T. 3, № 1. – S. 74–78.
7. Strizhakov, A. N. Vozmozhno li snizit’ chastotu kesareva secheniya? / A. N. Strizhakov, T. F. Timohina, V. S. Belousova // Voprosy ginekologii, akusherstva i perinatologii. – 2013. – № 12(3). – S. 5–11.
8. Kan, N. E Vybor sposoba rodorazresheniya posle operacii kesareva secheniya / N. E. Kan, V. L. Tyutyunik., M. I. Kesova, A. A. Balushkina // Akusherstvo i ginekologiya. – 2014. – № 6. – S. 20–26.
9. Skott, T. R. Intrapartum management of trial of labour after caesarean delivery: evidence and experience // Br. J. Obstet. Gynaecol. – 2014. – № 12(21). – R. 157–162.
10. Mihalevich, S. I. Transplantaciya biomedicinskogo kletochnogo produkta na osnove mezenhimal’nyh stvolovyh kletok zhirovoj tkani v oblast’ potencial’nogo formirovaniya rubca na matke / S. I. Mihalevich, S. A. Kreer, A. G. Poleshko [et al.] // Medicinskie novosti. – 2022. – № 9. – S. 29–32.
Review
For citations:
Tsareva S.N., Trukhanovich Ya.G., Kambur A.P., Tsarev V.P. REAL POSSIBILITIES OF VAGINAL DELIVERY IN WOMEN WITH AN OPERATIONAL UTERUS. Medical Journal. 2025;(1):115-118. (In Russ.) https://doi.org/10.51922/1818-426X.2025.1.115