ANALYSIS OF VAGINAL OUTCOMES IN WOMEN WITH A SCAR ON THE UTERUS

Pechenkina Natalia Sergeevna, Khlybova Svetlana Vyacheslavovna

The article presents a retrospective comparative analysis of 51 histories of vaginal birth (VR) in women with a scar on the uterus in 2018 without taking into account clinical guidelines and 49 stories of BP 2021, during which the clinical recommendations "Postoperative scar on the uterus requiring the provision of medical care to the mother during pregnancy, childbirth and the postpartum period" of 2021 were applied. Postoperative scar on the uterus requires the provision of medical care to the mother both during pregnancy and childbirth, and in the postpartum period. The analysis was carried out according to the following data of birth histories: parity of labor, maturity of the birth canal and the condition of the scar on the uterus according to ultrasound data before the onset of labor, the duration of labor, the frequency of manual monitoring of the uterine cavity after childbirth, the condition of the newborn. Purpose of the study: BP with a scar on the uterus conducted in 2018 without taking into account clinical guidelines and with their introduction into obstetric practice in 2021 Postoperative scar on the uterus, requiring the provision of medical care to the mother and during pregnancy, childbirth and the postpartum period. Materials and methods of research: Research work was carried out on the basis of the Department of Obstetrics and Gynecology of the Kirov State Medical University and the Kirov Regional State Budgetary Healthcare Institution Kirov Regional Clinical Perinatal Center (KOGBUZ KOKPC). A retrospective analysis of birth histories with a scar on the uterus through the natural birth canal was carried out in 2018 (group 1, n = 51, 0.8% of the total number of births) and 2021 (group 2, n = 49, 0.67% of the total number of births). The selected groups allow us to assess the effectiveness of the implementation of the clinical guidelines "Postoperative scar on the uterus requiring the provision of medical care to the mother during pregnancy, childbirth and the postpartum period", which came into force in 2021.

Keywords:cesarean section, scar on the uterus, thickness of the scar on the uterus, cervix, manual control of the uterine cavity, placenta, newborn