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SM ISO690:2012 POTACEVSCHI, Oleg. Risk factors for incompetence of the scar on the uterus in multiple caesarean sections. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 422. 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. 422-422 | |||||||
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Background. The repeated caesarean section (CS) is more difficult technically compared to caesarean section per prima due to the incompetence of the scar on the uterus, resulting from several risk factors. Objective of the study. Presentation of local risk factors for scar incompetence on the uterus in multiple caesarean sections. Material and Methods. In the retrospective observational case-control study, 175 pregnant women underwent repeated caesarean section were included, being divided into 2 groups: 88 women with scar incompetence on the uterus (Base Group 1 – LB1) and 87 women without scar incompetence on the uterus (Base Group 2 – LB2). The collected information was statistically analyzed using SPSS23 and Microsoft Excel. Results. According to the data obtained, the interval between CS less than 36 months contributed to the development of scar incompetence on the uterus in 38 (43.2%) women in LB1. Emergency CS in labor was performed more frequently in LB1 - 47.7% cases. The rate of grade II obesity prevailed in LB1-34.2% cases. In LB1 the incidence of abdominal adhesions was 25 (28.4%) cases, and the rate of varicose veins in the small basin - 17 (19.3%) cases. Conclusion. The incompetence of the scar on the uterus depends on the interval between the CS, the presence of the abdominal adhesion process in which the uterus, the organs of the small pelvis and abdominal cavity are involved, the timing of the operation in relation to the onset of labor, the body mass index of the pregnant woman. |
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Cuvinte-cheie incompetence of the scar on the uterus, cesarean section, childbirth, incompetența cicatricei pe uter, Operaţie cezariană, naştere |
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