• Placentary dysfunction at women with hem on uterus after Cesarean section and conservative myomectomy 
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Placentary dysfunction at women with hem on uterus after Cesarean section and conservative myomectomy 

 

HEALTH OF WOMAN. 2016.2(108):87–89 
 

Placentary dysfunction at women with hem on uterus after Cesarean section and conservative myomectomy 
 

Guz V. I.

National Medical Academy of Postgraduate Education P. L. Shupyk, Kiev 
 

Research objective: to study comparative aspects of placentary dysfunction at women with hem on uterus after Cesarean section and conservative myomectomy on the basis of an estimation of clinical-laboratory, hormonal, functional and morphological features of formation and functional condition fetoplacental complex.


Material and research methods. The complex estimation condition of fetoplacental complex at 50 women with hem on uterus after Cesarean section (1 group) and at 50 women after conservative myomectomy, concerning a myoma of the uterus executed before given pregnancy (2 group) is spent. Control group have made 50 first-labours women without obstetrical and somatic pathology, with natural delivery.


Results of researches. Frequency repeated abdominal delivery at women with hem on uterus after Cesarean section has made 80.0%, and in structure of indications prevailed placentary dysfunction (40.0%); clinical-ehografical signs of inconsistency of hem on uterus (40.0%) and extragenital pathology (20,0%). Level of cesarean sections at women with hem on uterus after conservative myomectomy has made 40,0%, and in structure of indications met placentary dysfunction (50.0%) is more often; anomalies of patrimonial activity (20.0%); pelvic prelying of large fetus (20.0%) and refusal from vaginal labours sorts against long barreness and use auxiliary reproductive technologies (20.0%). Perinatalnye outcomes of deliveries women with a hem on uterus depend on the reasons of presence of hem. To improve perinatal outcomes delivery of women with uterine scar should use individual approach with a discussion of the possibility of delivery of women through vaginal tract, but only when it allows the state of the uterine scar and functional status placenta .


Key words: placentary dysfunction, сesarean section, conservative myomectomy.


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