Results of operative obstetrical activity in modern obstetrics

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Cesarean section (CS) is the most widespread operation despite of high frequency of intra and post operational complications as opposed to spontaneous delivery. The aim of investigation (objective) is the analysis of outcomes of CS in every stages during and after CS. Material and methods. There is a retrospective analysis of 675 patients after CS. 60 women after pregnancy; 75 patients with insolvent scar after previous CS during planning of the next pregnancy; 540 scarred pregnant women in term and 24 pregnant women with implantation in the scar. Results. The application of the secondary sutures is indicated in the case of insufficient sutures on the uterine wall. The metroplastic operation is indicated during the next pregnancy. The insufficiency of the previous uterine scar is the indication for CS in more than 70 %. The earliest diagnosis of the localization of the placenta in the scar is desirable. The most cautious method of pregnancy interruption should be used with immediate or postponed metroplastic.

作者简介

Vladislav Krasnopol’skiy

Moscow Regional Research Institute of Obstetrics and Gynecology

Email: guzmoniiag@gmail.ru
MD, professor, academician of the Russian Academy of Sciences, Honored Doctor of the Russian Federation

Lidiya Logutova

Moscow Regional Research Institute of Obstetrics and Gynecology

Email: guzmoniiag@gmail.ru
MD, Professor, Honored Scientist of the Russian Federation, Deputy Director of the Defense

Svetlana Buyanova

Moscow Regional Research Institute of Obstetrics and Gynecology

Email: buyanova-sn@mail.ru
MD, Professor, Honored Doctor of the Russian Federation, head of gynecological department

Marina Chechneva

Moscow Regional Research Institute of Obstetrics and Gynecology

Email: Marina-chechneva@yandex.ru
MD, Professor, Head of perinatal diagnostics

Ketsvan Akhlediani

Moscow Regional Research Institute of Obstetrics and Gynecology

Email: akhketi@mail.ru
PhD, Senior Researcher obstetric department of physiological

参考

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版权所有 © Krasnopol’skiy V.I., Logutova L.S., Buyanova S.N., Chechneva M.A., Akhlediani K.N., 2015

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