A CLINICAL CASE OF AN UNDEVELOPED PREGNANCY IN A UTERINE SCAR AFTER A CESAREAN SECTION

2021 ◽  
pp. 26-34
Author(s):  
Mikhail E. Shchepelev ◽  
Tatyana V. Deripasko ◽  
Anastasiya A. Sidorova ◽  
Elena G. Drandrova ◽  
Evgeny V. Moskvichev ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Clinical Case ◽  
Reproductive Function ◽  
Childbearing Age ◽  
Pregnancy And Childbirth ◽  
First Child ◽  
Anatomical Classification ◽  
Uterine Scar ◽  
Ectopic Pregnancies

Over the past twenty-five years, the average age of a woman giving birth to the first child has grown significantly around the world. So, in Russia, currently, women begin to bring their reproductive function into action on average at the age of 26-35. This leads to the fact that obstetricians and gynecologists in their practice increasingly face with pregnancy and childbirth complicated by a uterine scar after a previous cesarean section or myomectomy. The formation of a uterine scar after any intervention entails the likelihood of long-term complications, such as a rupture of the uterus along the scar and pregnancy in the uterine scar. According to the latest clinical recommendations for ectopic pregnancy, pregnancy in the uterine scar has been added to the anatomical classification of ectopic pregnancies. The article describes a clinical case of an undeveloped pregnancy in the uterine scar after a cesarean section, it shows the difficulty of timely diagnosis of such pregnancy, which often results in improper management of patients and loss of fertility by women of childbearing age. In the described case, late diagnosis of pregnancy in the uterine scar necessitated organ-resecting surgery – extirpation of the uterus with fallopian tubes.

scholarly journals Efficacy of Combined Laparoscopic and Hysteroscopic Repair of Post-Cesarean Section Uterine Diverticulum: A Retrospective Analysis

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Cuilan Li ◽  
Shiyan Tang ◽  
Xingcheng Gao ◽  
Wanping Lin ◽  
Dong Han ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Combined Treatment ◽  
Clinical Manifestations ◽  
Abnormal Uterine Bleeding ◽  
Lower Uterine Segment ◽  
Improvement Rate ◽  
Uterine Scar ◽  
Lost To Follow Up

Background. Diverticulum, one of the long-term sequelae of cesarean section, can cause abnormal uterine bleeding and increase the risk of uterine scar rupture. In this study, we aimed to evaluate the efficacy of combined laparoscopic and hysteroscopic repair, a newly occurring method, treating post-cesarean section uterine scar diverticulum.Methods. Data relating to 40 patients with post-cesarean section uterine diverticulum who underwent combined laparoscopic and hysteroscopic repair were retrospectively analyzed. Preoperative clinical manifestations, size of uterine defects, thickness of the lower uterine segment (LUS), and duration of menstruation were compared with follow-up findings at 1, 3, and 6 months after surgery.Results. The average preoperative length and width of uterine diverticula and thickness of the lower uterine segment were recorded and analyzed. The average durations of menstruations at 1, 3, and 6 months after surgery were significantly shorter than the preoperative one (p<0.05), respectively. At 6 months after surgery, the overall success improvement rate of surgery was 90% (36/40). Three patients (3/40 = 7.5%) developed partial improvement, and 1/40 (2.5%) was lost to follow-up.Conclusions. Our findings showed that combined treatment with laparoscopy and hysteroscopy was an effective method for the repair of post-cesarean section uterine diverticulum.

Delivery of a pregnant woman with placenta accreta and uterine scar after cesarean section with the formation of placental hernia. A clinical case

2020 ◽  
Vol 6_2020 ◽  
pp. 141-146
Author(s):  
Barinov S.V. Barinov ◽  
Tirskaya Yu.I. Tirskaya ◽  
Kadtsyna T.V. Kadtsyna ◽  
Lazareva O.V. Lazareva ◽  
Chulovsky Yu.I. Chulovsky ◽  
...  
Keyword(s):  
Pregnant Woman ◽  
Cesarean Section ◽  
Clinical Case ◽  
Placenta Accreta ◽  
Uterine Scar

scholarly journals Primenenie kombinirovannykh oral'nykh kontratseptivov u zhenshchin reproduktivnogo vozrasta s ozhireniem

2009 ◽  
Vol 6 (2) ◽  
pp. 3-6
Author(s):  
E N Andreeva ◽  
E A Karpova ◽  
E N Andreeva ◽  
E Karpova
Keyword(s):  
Lifestyle Modification ◽  
Polycystic Ovary ◽  
Reproductive Function ◽  
Integrated Treatment ◽  
Childbearing Age ◽  
Metabolic Complications ◽  
Pregnancy And Childbirth ◽  
High Prevalence ◽  
Ovary Function ◽  
Drug Interventions

This article assesses the problem of obesity as a risk factor for development of severe metabolic complications and different disorders of reproductive function in women of childbearing age. It is pointed that obesity is associated with high prevalence of hyperandrogenemic and hyperplastic disorders, polycystic ovary syndrome, infertility, complications of pregnancy and childbirth. Article discusses the questions of integrated treatment approach of this category of patients, which include non-drug interventions (rational nutrition, lifestyle modification) as well as the use of medications which lower the insulin resistance and hyperinsulinemia to restore ovary function and the possible use of combined oral contraceptives for correction of anovulation.

scholarly journals The niche in the uterine cesarean scar: a new problem of women’s reproductive health

2020 ◽  
Vol 69 (1) ◽  
pp. 53-62
Author(s):  
Olga N. Nozhnitseva ◽  
Vitaliy F. Bezhenar
Keyword(s):  
Cesarean Section ◽  
Pregnant Women ◽  
Ultrasound Examination ◽  
Suture Repair ◽  
Resonance Imaging ◽  
Complicated Course ◽  
Uterine Scar ◽  
Significant Factors

Hypothesis/aims of study. In the recent decades, the quality of uterine suture repair after a cesarean section is widely discussed, as local thinning of the myometrium forming uterine scar defects, or the so-called scar niche, are relatively common after the operation. The aim of this study was to identify the causes of local thinning of the uterine scar after cesarean section, to determine the effectiveness of existing methods for assessing the uterine scar in non-pregnant women, and to develop a method for surgical correction of this pathology. Study design, materials and methods. Over 4 years, 175 non-pregnant women with a uterine scar were examined. The 50 of them were diagnosed with the uterine scar niche, with a laparoscopic metroplasty performed in these patients. The effectiveness of the operation was evaluated in the long-term postoperative period. Results. Performing cesarean section because of weakness of labor activity and a complicated course of the postpartum period are significant factors in the formation of a uterine scar niche (p 0.05). Ultrasound examination and magnetic resonance imaging of the pelvic organs can be used to detect local thinning of the myometrium with a sensitivity of 82% and 96%, and a specificity of 85% and 90%, respectively. Conclusion. Metroplasty for patients with a diagnosed scar niche can significantly increase the thickness of the myometrium (p 0.05) and reduce the frequency of complaints of such menstrual irregularities as postmenstrual vaginal bleeding, dysmenorrhea, and hypermenorrhea (p 0.05).

scholarly journals Restoring Reproductive Function In Overweight And Obese Women Of Childbearing Age

2020 ◽  
Vol 2 (08) ◽  
pp. 77-81
Author(s):  
Hamdamova M. T. ◽  
Jurakulova Z. A
Keyword(s):  
Negative Impact ◽  
Reproductive Function ◽  
Diet Therapy ◽  
Overweight And Obesity ◽  
Reproductive Age ◽  
Obese Women ◽  
Childbearing Age ◽  
Women Of Reproductive Age ◽  
Pregnancy And Childbirth ◽  
Group 2

The prevalence of overweight and obesity among women in Uzbekistan is 31.7 %. There is an annual increase in people with obesity. The facts of the negative impact of fat mass on the hormonal system and, as a result, a decrease in fertility in women are not in doubt. The purpose of this study was to evaluate the results of Metformin use in overweight and obese women of reproductive age. The study included 45 women of reproductive age who could not reduce weight with diet therapy. All patients were divided into three groups: group 1-planning pregnancy (n = 15), group 2 – having abnormal weight gain after childbirth (n = 15), group 3 – having overweight and obesity not related to pregnancy and childbirth (n = 15). Weight loss while taking Metformin increases fertility and should be performed in obese women as pre-gravidar training.

Chronic endometritis and an incompetent uterine scar after cesarean section: long-term outcomes of metroplasty

2019 ◽  
Vol 2_2019 ◽  
pp. 126-134 ◽  
Author(s):  
Glukhov E.Yu. Glukhov ◽  
Dikke G.B. Dikke ◽  
Neff E.I. Neff ◽  
Glukhova V.E. Glukhova ◽  
Svyazhina A.V. Svyazhina A ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Long Term Outcomes ◽  
Chronic Endometritis ◽  
Uterine Scar

scholarly journals CERVIX DELAMINATION IN A PATIENT WITH INVASION OF PLACENTA PREVIA TO THE UTERINE SCAR AFTER CESAREAN SECTION (clinical case presentation)

2018 ◽  
Vol 11 (5) ◽  
pp. 154-158
Author(s):  
RUSHANYA I. GABIDULLINA ◽  
◽  
GULFIRA N . KALIMULLINA ◽  
OLGA N . MIKHAYLOVA ◽  
MARAT A . MINGAZETDINOV ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Clinical Case ◽  
Placenta Previa ◽  
Case Presentation ◽  
Uterine Scar

scholarly journals Relation of Reproductive and Economic Functions to the Selection of Long-Term Contraception in Women of Fertile Couples in Belukur Makmur Village, Rundeng Sub-District, Subulussalam City

2020 ◽  
Vol 2 (1) ◽  
pp. 320-326
Author(s):  
Irma Yuspita Sari Siahaan ◽  
Heru Santosa ◽  
Sri Rahayu Sanusi
Keyword(s):  
Contraceptive Use ◽  
Large Population ◽  
Reproductive Function ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Cross Sectional ◽  
Contraceptive Devices ◽  
Family Approach ◽  
Selection Of

One of the population problems faced by the Indonesian people today is a large population and high maternal mortality rates. One way to suppress this growth rate is that the achievement of long-term contraceptive use must reach 65% and the role of family members in motivating the selection of contraceptives is needed. The study aimed to analyze the relationship of reproductive function and family economy with the selection of long-term contraception in women of childbearing age in Belukur Makmur Village, Rundeng Sub-District, Subulussalam Municipality. This type of research is analytical research with a cross sectional approach. The study was conducted in Belukur Makmur Village, Rundeng Sub-District, Subulussalam City, with a sample of 123 people using contraception, data collection was done by interview using a questionnaire. Data were analyzed using the chi square test. The results showed that there was a relationship between reproductive function (p = 0.014) and economic function (p = 0.006) with the selection of long-term contraception in women of childbearing age in Belukur Makmur Village, Rundeng District, Subulussalam City. Recommended to the medical workers to improve education, socialization and motivating couples of childbearing age to choose a long-term contraceptive devices through a family approach.

scholarly journals Ectopic pregnancy in the uterus scar left after cesarean section: a clinical case

2018 ◽  
Vol 12 (2) ◽  
pp. 69-75
Author(s):  
A. N. Rybalka ◽  
A. N. Sulima ◽  
D. А. Beglitse ◽  
O. A. Mitrofanova ◽  
O. S. Latyshev ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Ectopic Pregnancy ◽  
Clinical Case ◽  
Reproductive Organ ◽  
Uterine Scar

The article describes a rare clinical case of ectopic pregnancy in the uterine scar left after a cesarean section. The case demonstrates the complexity of diagnosing this abnormality and managing such patients. The proposed approach allowed us to diagnose pregnancy in the uterus scar in due time, avoid hysterectomy, and preserve the reproductive organ.

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