Мать и дитя в Кузбассе (Apr 2023)
FEATURES OF THE COURSE OF PREGNANCY AND CHILDBIRTH IN PATIENTS WITH A CORPORAL SCAR ON THE UTERUS FROM A CAESAREAN SECTION
Abstract
The aim of the research – to study the clinical and anamnestic features of the course of pregnancy in patients with a corporal scar on the uterus from a caesarean section. Material and methods. A retrospective cohort study was conducted, which included 55 pregnant women with one uterine scar from a caesarean section, which were divided into two groups: the main group (n = 23) – pregnant women with a corporal uterine scar after cesarean section, comparison group (n = 32) – pregnant women with one scar on the uterus from a caesarean section performed in the lower segment. Anamnestic data were analyzed (the course of the present and previous pregnancy). Results. It was found that in patients with a corporal scar on the uterus, the most common complication of pregnancy is the formation of fetoplacental insufficiency with an outcome in fetal growth retardation syndrome OR = 3,47 (ДИ 95% 1,24; 9,72), and the threat of abortion. Patients with a history of corporal caesarean section are at risk for preterm birth. One of the main indications for abdominal delivery, patients with a corporal scar on the uterus is, the threat of uterine rupture along the scar OR = 2.4 (95% CI 1.43; 4.03), and detachment of a normally located placenta OR = 5.5 (95% CI 2.45; 9 .65). An inferior uterine scar from caesarean section was significantly more often detected in patients with a corporal uterine scar OR = 4.12 (95% CI 1.34; 8.23). Conclusion. Patients with a corporal scar on the uterus are at risk for the formation of obstetric complications.
