A CLINICAL CASE OF AN UNDEVELOPED PREGNANCY IN A UTERINE SCAR AFTER A CESAREAN SECTION-Reference-Cited by-同舟云学术

A CLINICAL CASE OF AN UNDEVELOPED PREGNANCY IN A UTERINE SCAR AFTER A CESAREAN SECTION

Published:2021-09-30 Issue:3 Volume: Page:26-34
ISSN:2413-4864
Container-title:Acta medica Eurasica
language:
Short-container-title:Acta med. Eurasica

Author:

Shchepelev Mikhail E.¹^ORCID,Deripasko Tatyana V.²^ORCID,Sidorova Anastasiya A.³^ORCID,Drandrova Elena G.³^ORCID,Moskvichev Evgeny V.³^ORCID,Leonteva Tatyana Yu.¹^ORCID,Afanasev Denis A.¹^ORCID

Affiliation:

1. Emergency Hospital (Cheboksary)

2. Presidential Perinatal Center (Cheboksary)

3. Chuvash State University

Abstract

Over the past twenty-five years, the average age of a woman giving birth to the first child has grown significantly around the world. So, in Russia, currently, women begin to bring their reproductive function into action on average at the age of 26-35. This leads to the fact that obstetricians and gynecologists in their practice increasingly face with pregnancy and childbirth complicated by a uterine scar after a previous cesarean section or myomectomy. The formation of a uterine scar after any intervention entails the likelihood of long-term complications, such as a rupture of the uterus along the scar and pregnancy in the uterine scar. According to the latest clinical recommendations for ectopic pregnancy, pregnancy in the uterine scar has been added to the anatomical classification of ectopic pregnancies. The article describes a clinical case of an undeveloped pregnancy in the uterine scar after a cesarean section, it shows the difficulty of timely diagnosis of such pregnancy, which often results in improper management of patients and loss of fertility by women of childbearing age. In the described case, late diagnosis of pregnancy in the uterine scar necessitated organ-resecting surgery – extirpation of the uterus with fallopian tubes.

Publisher

I.N. Ulianov Chuvash State University

Link

http://acta-medica-eurasica.ru/wp-content/uploads/2021/10/AME_2021_3_26-34.pdf

Reference20 articles.

1. Blagina E.I. Prichiny formirovaniya nesostoyatel’nogo rubtsa na matke posle kesareva secheniya i metody profilaktiki: avtoref. dis. … kand. med. nauk [Causes of the formation of an untenable scar on the uterus after cesarean section and methods of prevention. Abstract of Cand. Diss.]. Moscow, 2017, 22 p.

2. Garaeva A.S. Nekotorye osobennosti reproduktivnykh ustanovok zhenshchin starshikh vozrastnykh grupp Chechenskoi respubliki [Some features of the reproductive systems of women of older age groups chechen republic]. Klinicheskaya gerontologiya, 2016, no. 7-8, pp. 66–69.

3. Ivshin A.A., Ivshina P.V. Kesarevo sechenie: paradigma bezopasnosti [Cesarean section: paradigm of security]. Vestnik nauki i obrazovaniya, 2017, no. 12(36), pp. 100–102.

4. Kesova M.I., Bolotova O.V., Kan N.E., Ordzhonikidze N.V. Prognosticheskie kriterii otsenki sostoyaniya rubtsa na matke posle kesareva secheniya [Prognostic criteria of the cesarean scar status appraisal]. Vestnik RUDN. Ser. Meditsina, 2009, no. 5, pp. 175–180.

5. Klinicheskie rekomendatsii (protokol lecheniya) «Vnematochnaya (ektopicheskaya) beremennost’», utverzhdennye Minzdravom Rossii i ROAG ot 6 fevralya 2017 g. [Clinical guidance (protocol of treatment) “Ectopic pregnancy”, approved by Ministry of Healthservice of Russian Federation and Russian Society of Obstetricians-Gynecologists on February 6, 2017], no. 15-4/10/2-729, 35 p.