Natural Childbirth after the Previous Caesarian Section is a Solved Problem

Тhe rapid increase in the frequency of сesarian section (CS) observed in recent years (up to 60% in some countries) is alarming and reduces the reproductive potential of the population. The operated uterus remains the main indication for CS (up to 40%). This is the factor which may allow reducing the frequency of the CS by subsequent delivering through the birth canal. A comparative analysis of maternal and neonatal outcomes enabled the authors to develop a two-stage delivery technology for patients with a caesarean scar, including the usage of the programmed delivery method. The presented algorithm confirmed the validity of vaginal delivery in such patients, and reduced the number of complications up to 4 times. Neonatal morbidity in children born through the birth canal in such patients was comparable to physiological birth.

Авторы
Papysheva O.V. 1 , Esipova L.N. 1 , Radzinskiy V.E. 2 , Startseva N.M. 3 , Vuchenovich Y.D.1 , Kotaysh G.A. 1 , Gagaev C.G.3 , Semenov P.A. 3
Номер выпуска
Issue
Язык
Русский
Страницы
637-642
Статус
Опубликовано
Том
27
Год
2019
Организации
  • 1 S. S. Yudin City Clinical HospitalMoscow 115446, Russian Federation
  • 2 Medical Institute of RUDN UniversityMoscow 117198, Russian Federation
  • 3 N. E. Bauman City Clinical HospitalMoscow 111020, Russian Federation
Ключевые слова
caesarean scar; cesarean section; natural childbirth; programmed delivery
Дата создания
24.12.2019
Дата изменения
24.12.2019
Постоянная ссылка
https://repository.rudn.ru/ru/records/article/record/55124/
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