Results of operative obstetrical activity in modern obstetrics

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Abstract

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.

About the authors

Vladislav Ivanovich Krasnopol’skiy

Moscow Regional Research Institute of Obstetrics and Gynecology

Email: guzmoniiag@gmail.ru
MD, professor, academician of the Russian Academy of Sciences, Honored Doctor of the Russian Federation

Lidiya Sergeevna Logutova

Moscow Regional Research Institute of Obstetrics and Gynecology

Email: guzmoniiag@gmail.ru
MD, Professor, Honored Scientist of the Russian Federation, Deputy Director of the Defense

Svetlana Nikolaevna Buyanova

Moscow Regional Research Institute of Obstetrics and Gynecology

Email: buyanova-sn@mail.ru
MD, Professor, Honored Doctor of the Russian Federation, head of gynecological department

Marina Aleksandrovna Chechneva

Moscow Regional Research Institute of Obstetrics and Gynecology

Email: Marina-chechneva@yandex.ru
MD, Professor, Head of perinatal diagnostics

Ketsvan Nodarievna Akhlediani

Moscow Regional Research Institute of Obstetrics and Gynecology

Email: akhketi@mail.ru
PhD, Senior Researcher obstetric department of physiological

References

  1. Басиладзе Е. Н. Анализ инфекционно-воспалительных осложнений у родильниц. Материалы VII Российского форума «Мать и дитя». М.: 2005; 27.
  2. Глухов Е. Ю., Обоскалова Т. А., Столин А. В., Спирин А. В., Бутунов О. В. Рубец на матке после операции кесарева сечения в клинике и эксперименте. Росс. вестник акуш. и гинек. 2014; 1: 10-9.
  3. Кукарская И. И. Управляемая баллонная тампонада матки при операции кесарева сечения как метод профилактики острой массивной кровопотери. Акуш. и гин. 2012; 7: 80-3.
  4. Bragg F., Cromwell D. A., Edozien L. C., Gurol-Urganci I., Mahmood T. A., Templeton A. et al. Variation in rates of caesarean section among English NHS trusts after accounting for maternal and clinical risk: cross sectional study. BMJ. 2010; 341: c5065.
  5. Liu S., Liston R. M., Joseph K. S., Heaman M., Sauve R., Kramer M. S. Maternal mortality and severe morbidity associated with low-risk planned cesarean delivery versus planned vaginal delivery at term. CMAJ. 2007; 176: 455-60.
  6. Mu Y., Edwards J. R., Horan T. C., Berrios-Torres S. I., Fridkin S. K. Improving risk-adjusted measures of surgical site infection for the national healthcare safety network. Infect. Control. Hosp. Epidemiol. 2011; 32: 970-86.
  7. Olsen M. A., Butler A. M., Willers D. M., Devkota P., Gross G. A., Fraser V. J. Risk factors for surgical site infection after low transverse cesarean section. Infect. Control. Hosp. Epidemiol. 2008; 29: 477-84.
  8. Olsen M. A., Butler A. M., Willers D. M., Gross G. A., Devkota P., Fraser V. J. Risk factors for endometritis after low transverse cesarean delivery. Infect. Control. Hosp. Epidemiol. 2010; 31: 69-7.
  9. Wloch C., Wilson J., Lamagni T., Harrington P., Charlett A., Sheridan E. Risk factors for surgical site infection following caesarean section in England: results from a multicenter cohort study. BJOG. 2012; 119: 1324-33.

Copyright (c) 2015 Krasnopol’skiy V.I., Logutova L.S., Buyanova S.N., Chechneva M.A., Akhlediani K.N.

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