POSSIBILITY OF GEARING PREGNANCY AFTER METROPLASTY PERFORMED FOR ANOMALIES OF PLACENTA ATTACHMENT

Abstract

The aim of the research – to study the course of pregnancy and birth outcomes in pregnant women with a uterine scar after previous metroplasty for abnormal placental attachment. Materials and methods: We examined 40 patients with repeat pregnancies after metroplasty for abnormal placental attachment in a previous pregnancy. The patients were divided into 2 groups depending on the type of placenta insertion in the current pregnancy. An analysis of anamnestic and clinical data was carried out. Results: As a result of the selection from a large amount of anamnestic data and examination results, the most statistically significant independent risk factors for recurrent abnormal placentation were: the serial number of pregnancy at the time of cesarean section and the presence of anemia. Conclusion: The developed nomogram for predicting the risk of developing placenta accreta after undergoing metroplasty for placenta accrete spectrum allows us to predict the possibility of abnormal placentation in a new pregnancy with 41.2 % positive and 100 % negative results.

Keywords

• аномальное прикрепление плаценты
• метропластика
• кесарево сечение