Conţinutul numărului revistei |
Articolul precedent |
Articolul urmator |
230 0 |
SM ISO690:2012 OȚEL, Cristina, CATRINICI, Rodica. Birth per vias naturales with scarred uterus. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 444. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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Pag. 444-444 | ||||||
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Background. Vaginal birth after cesarean section (VBAC) could be considered a reasonable and safe option for women with one cesarean section in their history. In Europe, the rate is 24%, in RM in 2020 - 19%. Objective of the study. To investigate the specific features of the evolution of vaginal birth after CS. Materials and methods. Was performed a retrospective analysis of VBAC in the obstetric unit of Gheorghe Paladi municipal clinical hospital from 2021. Study results. Clinical trial data showed that during 2021 took place 3072 births; 2474 vaginal births, and 598 CS. There were analyzed 21 medical charts. Maternal age 30-34 years in 52.38%. Gestational age: 39-40 weeks 23.8%-33.33%. Maternal comorbidities: gestational hypertension 14.28%, obesity 4.76%, anamnestic preterm birth 4.76%, antenatal fetal death 4.76%, vacuum extraction 9.52%, labor analgesia rate 19.04%. Uterine cavity control 9.52% (placental tissue defect). Birth canal trauma: laceration of perineum 28.57%, vagina 19.04%, and 33.33% without trauma. The weight of newborns has varied 2500-3700 g, with an average of 3200 g. Perinatal outcomes: 8/9 p Apgar 40.9%. No cases have been registered of labor stimulation with uterotonics, uterine scar insufficiency, and pathological hemorrhage in the third period of labor. Of the total number of VBAC has been registered one case of spontaneous birth Duplex bicorionic, biamniotic. Conclusions. Term pregnancy and spontaneous start of labor are factors that increase the chance of successful VBAC. Thanks to the implementation in obstetrics practice of the national protocol, we can choose the tactic of vaginal birth, after informing the patient about the maternal and perinatal risks and benefits, with qualified medical care and an adequate level of perinatological attendance. |
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Cuvinte-cheie Vaginal Birth, cesarean section, cicatricial uterus, naștere vaginală, cicatrice uterină, cezariană |
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