• Dynamic of the structure of delivery methods in women with cesarean section in anamnesis
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Dynamic of the structure of delivery methods in women with cesarean section in anamnesis

HEALTH OF WOMAN. 2018.1(127):64–67

Nazarenko L. G. , Nedorezova K. M.
Kharkiv Medical Academy of Postgraduate Education
Kharkiv Clinical Maternity Hospital № 6

The article presents results of the dynamic of specific gravity of the cesarean delivery (CD) among all methods of delivery, the ratio of primary and recurrent CD, the percentage of women with scar on the uterus after the CD, who agreed to attempt the VBAC and the rate of the cases of successful vaginal birth after cesarean section (VBAC) among them.
The objective: to determine the changes in the number of women with uterine scar in the cohort of individuals who pursue their further reproductive intent and have a new pregnancy.
Materials and methods. Сlinical and statistical results of the department, belonging to the 2nd level of perinatal care for the 10-year period (from 2008 to 2017).
Results. It has been established that the high rate of CD does not influence on the reduction of perinatal mortality (PM) parameters. The CD level above 20% does not influence in respect of reduction of PM, therefore it is not justified from the position of perinatal statistics. Indicator of the CD influences on intranatal component of the PM and almost does not influence on antenatal component. Growth of the index of primary CD has the basis for predicting a further increasing in the rate of repeated CD and women with «operated uterus».
Conclusion. The practice of VBAC reduces the level of operations in the department, belonging to 2nd level of perinatal care.
Key words: cesarean section, scar, vaginal births.

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