ANALYSIS OF VAGINAL DELIVERY AFTER CESAREAN SECTION
Abstract
The aim of the study is to analyze the outcome of vaginal delivery after cesarean section. Material and methods. Retrospective analysis of vaginal delivery cases in women with the uterine scar was made. Patients were divided into 2 groups: with and without manual examination of the uterus after delivery. Results. Blood loss is increased by an average of 79 ml. during the manual examination. The need for episiotomy after a manual examination is two times high. Vaginal delivery in women with uterine scar does not affect a newborn and patients are discharged on the 4th day on average
About the Authors
S. A. Dvoryansky
Kirov State Medical University
Russian Federation
Doctor of Science (Medicine), Professor, Head, Department of Obstetrics and Gynecology
Russian Federation
Doctor of Science (Medicine), Professor, Head, Department of Obstetrics and Gynecology
D. I. Emelyanova
Kirov State Medical University
Russian Federation
PhD (Medicine), Assistant Professor, Department of Obstetrics and Gynecology
Russian Federation
PhD (Medicine), Assistant Professor, Department of Obstetrics and Gynecology
References
1. Kuznetsov P. A., Kniazev S. A. Razryv matki: ukhodim ot rutinnykh protsedur, razvivaem bezopasnyi podkhod // Status Praesens. 2018. No. 3. P. 99–104.
2. (In Russian).
3. Bozhenkov K. A., Gustovarova T. A., Shifman E. M. et al. Epidural Analgesia and Labors in Women with a Uterine Scar: What is the Degree of Risk? // V. F.
4. Snegirev Archives of Obstetrics and Gynecology. 2017. No. 4 (4). P. 220–224. (In Russian).
5. Gabidullina R. I., Fatkullin I. F., Shamsutdinova L. G. Vaginal Delivery in Patients with Uterine Scar and Unprepared Maternal Passages // Kazan. med. zhurn. 2007. No. 2. P. 144–146. (In Russian).
6. Guise J.-M., Eden K., Emeis C. et al. Vaginal Birth after Cesarean: New Insights // Evid. Rep. Technol. Assess (Full Rep.). 2010. Vol. 191. P. 1–397.
7. Oxorn-foote Human Labor and Birth. / Ed. By Glenn Posner, Amanda Black and Griffith Jones. 6-th ed. McGraw-Hill Education, 2013. 928 p.
8. Committee on Practice Bulletins-Obstetrics / Practice Bulletin №184: Vaginal Birth after Cesarean Delivery // Obstet Gynecol. 2017. Vol. 130, No. 5. P. e217–e233.
9. Corton M. M. Williams Obstetrics. 24th ed. NY : McGraw-Hill Education / Medical, 2014. 1376 p.
10. Perrotin F., Marret H., Fignon A. et al. Scarred Utrrus: is Routine Exploration of the Cesarean Scar after Vaginal Birth Always Necessary? // J Gynecol Obstet
11. Biol Reprod. (Paris). 1999. Vol. 28, No. 3. Р. 253–262.
Review
For citations:
Dvoryansky S.A., Emelyanova D.I. ANALYSIS OF VAGINAL DELIVERY AFTER CESAREAN SECTION. Vestnik SurGU. Meditsina. 2019;(2 (40)):8-11. (In Russ.)
Views:
185
Email this article 
