Experience of birth induction in women with a scuber on the uterus after cesara section
AbstractThe aim of this study - to evaluate the effectiveness of induction/pre-induction of labor in women with a cesarean scar.
Material and methods. A prospective cohort study conducted (2013-2019, Moscow). 210 patients with a uterine scar after one cesarean section (CS) with trial of vaginal labor were selected: 60 patients underwent induction/pre-induction of labor, 150 developed spontaneous labour.
Results. The induction/pre-induction of labor in women with a uterine scar after cesarean section is effective (66.67%), not associated with the risk of intrapartum CS compared with their spontaneous onset of labor [RR=0.09 (95% CI 0.02-0.33)]. Indication for intranatal CS in both groups was the weakness of labor. The likelihood of internal CS determines the interval between the transferred CS and the actual pregnancy, pre-gestational BMI. The thickness of the uterine scar is not associated with the risk of intrapartum CS.
Conclusion. Induction/pre-induction of Labor, as an option of a trial of vaginal Labor after cesarean, is a measure to reduce the frequency of re-CS, but the criteria justifying the choice of delivery method, and the subsequent risks, require a rigorous assessment of anamnestic, anthropometric, gestational clinical, ultrasound and other criteria and their combination.
Keywords:labor induction, labor pre-induction, cesarean section, trial of vaginal labor after cesarean, uterine scar after cesarean section
For citation: Vuchenovich Yu.D., Novikova V.A., Kostin I.N. Experience of birth induction in women with a scuber on the uterus after cesara section. Akusherstvo i ginekologiya: novosti, mneniya, obuchenie [Obstetrics and Gynecology: News, Opinions, Training]. 2019; 7 (3). Supplement: 101-6. doi: 10.24411/2303-9698-2019-13914 (in Russian)
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