Alternative delivery of pregnant women with operated womb

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In this article, 12-year delivery experience described of pregnant women with hem on womb after cesarean. Labored 723 women: in 465 the repeated cesarean were made, in 258 spontaneous delivery were happened. Depositions for repeated cesarean and intra-operational complications are given. Management tactics of spontaneous delivery in women in childbirth with hem on womb is described. It was decided, that delivery through natural delivery ways in women with hem on womb after cesarean in low uterine segment must be the alternative to repeated cesarean.

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V. Krasnopolskiy

Moscow Regional Research Institute of Obstetrics and Gynecology M3 RF

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Email: info@eco-vector.com
俄罗斯联邦, Moscow

L. Logutova

Moscow Regional Research Institute of Obstetrics and Gynecology M3 RF

Email: info@eco-vector.com
俄罗斯联邦, Moscow

N. Gasparyan

Moscow Regional Research Institute of Obstetrics and Gynecology M3 RF

Email: info@eco-vector.com
俄罗斯联邦, Moscow

Е. Magilevskaya

Moscow Regional Research Institute of Obstetrics and Gynecology M3 RF

Email: info@eco-vector.com
俄罗斯联邦, Moscow

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2. Fig. 1. Wealthy (predominantly muscular, uniform thickness) scar on the uterus

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3. Fig. 2. Vascularization of a wealthy uterine scar

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4. Fig. 3. Anatomically defective (uneven thickness) scar on the uterus

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5. Fig. 4. Morphologically defective (connective tissue) scar on the uterus

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