Pregnancy prolongation during uterine scar dehiscence after caesarean section


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Background: The incidence of uterine scar dehiscence amounts to about 0.2-4.5% and carries the risks of transition to uterine rupture. The data on the frequency of ruptures are different, which is associated with the inaccuracy of the terminology, with the fact what is included in the concept of “uterine scar rupture” and “scar dehiscence”. This necessitates a search for new approaches to managing patients with this complication, including innovative ones that allow not only to preserve the uterus, but also to prolong pregnancy in order to improve perinatal outcomes. Case report: The paper presents experience in managing patients with uterine scar dehiscence after cesarean section in the second trimester of pregnancy with the clinical presentations of incomplete (non-penetrating) uterine scar rupture. In all three described cases, metroplasty followed by pregnancy prolongation could be performed. Conclusion: Metroplasty during the current pregnancy could prolong pregnancies that ended in the birth of viable babies.

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作者简介

Liana Savina

Maternity Hospital No. 3, Ufa; Bashkir State Medical University, Ministry of Health of the Russian Federation

Email: anika-cor@mah.ru
postgraduate student of the Department of Obstetrics and Gynecology; Deputy Chief Medical Officer

Alfiya Yashchuk

Bashkir State Medical University, Ministry of Health of the Russian Federation

Dr. Med. Sci., Professor, Head of the Department of Obstetrics and Gynecology

Zukhra Gurova

Maternity Hospital No. 3, Ufa; Bashkir State Medical University, Ministry of Health of the Russian Federation

PhD, Associate Professor at the Department of Obstetrics and Gynecology; Chief Physician

Vladimir Arkhipov

Maternity Hospital No. 3, Ufa

PhD, obstetrician-gynecologist, Department of Obstetrics

Albert Savin

Maternity Hospital No. 3, Ufa

obstetrician-gynecologist, Head of the Maternity Department

Anton Maslennikov

Bashkir State Medical University, Ministry of Health of the Russian Federation

PhD, Associate Professor at the Department of Obstetrics and Gynecology, Associate Professor at the Department of Anatomy

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