Placental dysfunction among pregnant women having uterine scar after Cesarean section

2020 ◽  
pp. 25-28
Author(s):  
OLGA YURYEVNA PACHKOVSKAYA ◽  
MARINA BORISOVNA IGITOVA
Keyword(s):  
Cesarean Section ◽  
Pregnant Women ◽  
Placental Dysfunction ◽  
Uterine Scar

The possibility of high-precision ultrasound diagnosis of placenta ingrowth into the uterine scar after cesarean section

2020 ◽  
Author(s):  
V.N. Demidov, A.I. Gus, T.A. Yarygina
Keyword(s):  
Statistical Analysis ◽  
Cesarean Section ◽  
Pregnant Women ◽  
High Precision ◽  
Ultrasound Examination ◽  
Placenta Previa ◽  
Ultrasound Diagnosis ◽  
Lower Segment ◽  
Uterine Scar

Our statistical analysis, based on ultrasound examination of 7069 pregnant women, showed that both in the absence and in the presence of a scar on the uterus in the region of its lower segment, the placenta in the 3rd trimester of pregnancy was located extremely rarely, only in 0.1%. It was either primarily located in other parts of the uterus, or migrated from the lower segment of the uterus towards the bottom. In the case of the location of the placenta in this area, its ingrowth was not observed only in 2.3% of women. The main ultrasound signs of ingrowth of the placenta into the scar was the absence of its migration, as well as the presence of a combination of placenta previa with its localization in the scar zone. From the data obtained, it follows that the sensitivity of ultrasound diagnosis of placental accreta was 97.7%, and the specificity was 99.9%. According to our data, ingrown placenta in most cases can be delivered as early as 14–19 weeks, and the time spent on detecting this pathology usually does not exceed one minute.

scholarly journals Results of operative obstetrical activity in modern obstetrics

2015 ◽  
Vol 64 (2) ◽  
pp. 53-58 ◽  
Author(s):  
Vladislav Ivanovich Krasnopol’skiy ◽  
Lidiya Sergeevna Logutova ◽  
Svetlana Nikolaevna Buyanova ◽  
Marina Aleksandrovna Chechneva ◽  
Ketsvan Nodarievna Akhlediani
Keyword(s):  
Cesarean Section ◽  
Pregnant Women ◽  
Retrospective Analysis ◽  
High Frequency ◽  
Uterine Wall ◽  
Uterine Scar ◽  
Pregnancy Interruption ◽  
Spontaneous Delivery

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.

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).

Features of course of pregnancy at women with varicose phlebectasia of genitals

2019 ◽  
pp. 43-45
Author(s):  
L.V. Manzhula ◽  
Keyword(s):  
Cesarean Section ◽  
Pregnant Women ◽  
Pregnancy Complications ◽  
Clinical Laboratory ◽  
Premature Births ◽  
Key Words Pregnancy ◽  
Placental Dysfunction ◽  
Group 2 ◽  
Laboratory Tool ◽  
Atypical Localization

The objective: to study features of course of pregnancy at women with varicose phlebectasia of genitals. Materials and methods. For the solution of a goal was the assessment of a clinical current of a gestation at 200 women with сliniсal-laboratory signs of varicose illness of the bottom extremities and genitals (the main 1 group) and 50 women of similar age and parity without clinical-laboratory signs of varicose illness (group 2 control) is carried out. In the main group we in addition allocated a subgroup of 1.1 – 42 women with varicose illness and varicose phlebectasia of genitals, respectively the subgroup 1.2 was made by 158 women with a varicose phlebectasia of only the bottom extremities. The complex of the conducted researches included clinical, laboratory, tool and statistical methods. Results. The obtained data testify that atypical localization varicose expanded veins of genitals is observed at 21.0% of women with varicose illness. The main complications of pregnancy at women with a varicose phlebectasia of genitals are not incubation threat in І a trimester – 53.3%; placental dysfunction – 33.3% and threat of premature births – 31.3%. Abortion frequency in І a trimester made 5 cases (11.9%), and premature births – respectively 3 (7.1%). Pregnant women with varicose phlebectasia of genitals in most cases (39 з 42 – 92.9%) were delivery by way of operation of Cesarean section. Conclusion. The obtained data needs to be considered when developing tactics of pregnancy and labors at women with a varicose phlebectasia of genitals. Key words: pregnancy, complications, varicose phlebectasia of genitals.

scholarly journals Lower Uterine Scar Thickness Predicts Timing of Next Cesarean Section in Iraqi Pregnant Women with Previous Multiple Operations

2019 ◽  
Vol 12 (1) ◽  
pp. 17-22 ◽  
Author(s):  
Saad Abdulrahman Hussain ◽  
Ulfat Mohammad Ali Al-Nakkash ◽  
Marwa Malik Anas ◽  
Alaa Ali Hussein ◽  
Faris Anwer Rasheed
Keyword(s):  
Cesarean Section ◽  
Pregnant Women ◽  
Uterine Scar

Optimization of diagnostics and tactics of maintaining pregnant women with benign tumors and tumorous formations of ovaries

2017 ◽  
pp. 63-65
Author(s):  
V.I. Boyko ◽  
◽  
N.P. Sukhostavets ◽  
Keyword(s):  
High Risk ◽  
Cesarean Section ◽  
Pregnant Women ◽  
Key Words ◽  
High Frequency ◽  
Clinical Course ◽  
Perinatal Outcomes ◽  
Benign Tumors ◽  
Placental Dysfunction

The objective: optimization of diagnostics and tactics of conducting pregnancy at women with benign tumors and tumorous formations of ovaries by improvement of diagnostic and treatment-and-prophylactic actions. Patients and methods. 129 patients in various durations of gestation from which 104 were with benign tumors and tumorous formations of ovaries were surveyed. Results. The clinical course of pregnancy at course of pregnancy at women with benign tumors and tumorous formations of ovaries is characterized by the high frequency of threat of discontinuing in І (49.7%) that ІІ trimesters (50.8%). Level of other complications depends on maintaining tactics, and it considerably vichy at refusal of women of expeditious treatment and their conservative maintaining: placental dysfunction – 44.0% and 16.2%; fetus distress – 30.0% and 6.7%; delivery by operation of cesarean section – 33.3% and 10.8%; disturbances of post-natal adaptation of newborns – 9.5% and 6.8% respectively. Conclusion. The improved and introduced algorithm of maintaining women with benign tumors and tumorous formations of ovaries allows to improve obstetric and perinatal outcomes of delivery of women of group of high risk. Key words: benign tumors and tumorous formations of ovaries, pregnancy, maintaining tactics.

scholarly journals INTEGRATED PREPARATION OF PREGNANT WOMEN WITH A UTERINE SCAR TO VAGINAL PARTURITION

2019 ◽  
Vol 6 (1) ◽  
pp. 38-42
Author(s):  
E. P Shevtsova ◽  
Anatoly E. Miroshnikov ◽  
Yu. A Shatilova ◽  
N. A Zharkin
Keyword(s):  
Cesarean Section ◽  
Pregnant Women ◽  
Vaginal Delivery ◽  
Previous Cesarean Section ◽  
Birth Canal ◽  
Natural Birth ◽  
Uterine Scar ◽  
Previous Cesarean

Attempts of vaginal delivery in cases with a scar on the uterus after a previous cesarean section are more successful after appropriate psycho-prophylactic preparation during pregnancy. The purpose of the study is to reduce the frequency of repeated cesarean section operations. A comparison was made of the methods of delivery for pregnant women with a scar on the uterus after comprehensive training on an improved program and unprepared pregnant women. A total of 158 women were included in the study. Among them were those who had a cesarean section in history, but not trained for the current childbirth, only 5% gave birth independently. At the same time, women trained under the improved program had independent deliveries in 45.6% of cases (OR 5.813; 95% CI 0.826-40.885). The results confirm the effectiveness of the proposed improvements in the preparation of pregnant women with a scar on the uterus. The intention of such women to give birth through the natural birth canal, formed as a result of preparation, is an important factor for successfully overcoming the difficulties of the delivery process.

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