Possible complications during repeated cesarean section and their prevention

• Kristina V. Kudryashova
• Al’fiya G. Yaschuk
• Il’nur I. Musin

Abstract

An important problem of modern obstetrics is the prevalence of cesarean section delivery (up to 40% of the total number of births), in respect of which there is no tendency to decrease. The consistently high frequency of operative delivery is associated, among other things, with a high percentage of repeated caesarean sections in the group of women with an uterine scar. Despite the globally recognized possibility of vaginal delivery in women with an uterine scar, they are performed in only about 1% of cases. At the same time, most practicing obstetricians and gynecologists consider a relatively safe method of delivery by caesarean section in modern obstetrics and continue to insist on repeated surgical intervention.

On the basis of literature data, complications of repeated cesarean section were analyzed, and an increase in the number of intraoperative complications associated with an increase in the number of caesarean sections was estimated. It was concluded that the risk of a number of complications increases in proportion to the number of caesarean sections performed. This article proposes methods for the prevention of intraoperative complications, such as bladder injury and continuation of the incision on the uterus into the gap during fetal extraction during repeated caesarean section, which are used in the maternity hospital of the BSMU Clinic.

Keywords:cesarean section; uterine scar; complications; bladder injury

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