In the 6th maternity hospital, childbirth is conducted through natural birth canal with a previously operated uterus after a cesarean section or after a conservative myomectomy produced. The frequency of conducting such childbirth in our maternity hospital ranges from 15 to 20% of all genera in patients with operated uterus.
In recent years, the frequency of cesarean section has increased. As a result, the number of women who have a scar on the uterus increases. In the case of subsequent pregnancy, two ways of delivery are possible: vaginal birth or planned cesarean section.
Most of the women who made a cesarean section in the lower segment of the uterus are candidates for childbirth through natural birth canal.
Unfortunately, there are contraindications for childbirth through the natural birth canal: corporal, t and J-shaped incision on the uterus during the previous operation of the Constitutional Court; multiple pregnancy; history of the uterus in history; pelvic presentation of the fetus; the location of the placenta in the area of the scar on the uterus; a history of more than one COP; The estimated mass of the fetus is more than 3800 gr.
Factors that increase the likelihood of successful birth through natural birth canal:
- The patient's desire to give birth through natural birth canal.
- The presence of a history of successful birth through the natural birth canal after the Constitutional Court.
- Having history of vaginal genera
- Mature cervix at the time of birth
- The spontaneous beginning of childbirth
However, vaginal birth in women with a history of cesarean sections in the history of a history have certain risks. In this regard, all women with a scar on the uterus are hospitalized in the department of pathology of pregnant women in a period of 38 weeks of pregnancy for the final coordination of delivery tactics.
They conduct a clinical and laboratory examination, the condition of the fetus is evaluated: CTG, ultrasound, with an assessment of the state of the scar, dopplerometry. Additional examinations are carried out if there are appropriate indications. With a wealthy scar - childbirth is possible!
In our hospital, there is an individual approach to each patient with a scar on the uterus. Indications and contraindications for conducting childbirth through natural birth canopies are strictly evaluated on the consultation, all factors (their large number) are taken into account that increase or reduce the risks of successful birth. The consultation is carried out in an expanded composition with the participation of employees of the department of obstetrics and gynecology of the BSMU.
We know that to give birth through natural birth canal is a great benefit granted to women by nature. After giving birth, the patients say: “I feel good, I feel like a mother. I'm happy !". These are very important and valuable words for all doctors and midwives leading such difficult birth.
Childbirth with a scar on the uterus is conducted, as well as ordinary births, if necessary, anesthesia is carried out, patients can actively move during the first birth period, sit on fitball. During childbirth, constant monitoring is carried out over the condition of the patient and fetus.
After the birth of the child and the placenta, a manual examination of the walls of the uterus is carried out to monitor the state of the scar. In the postpartum period, regular and thorough observation of the state of the nasal is carried out.
We give a chance to every patient with a scar on the uterus to give birth to a child in a natural way.
