Abstract

Analysis of perinatal outcomes in 150 women with a scar in the uterus after cesarean section was performed. The indicators of perinatal mortality (antenatal fetal death) amounted to 13.3%, premature birth – 10.7%. Adaptation to extrauterine existence was disrupted in 32.4% of the children, the leading cause of adaptation failure was the pathology of the nervous system in the form of perinatal CNS damage from hypoxic ischemic genesis (72.9%). Respiratory disorders were detected in 31.3% of the children, neonatal jaundice was recorded in 29.2% of children, and 18.8% showed intrauterine development and growth retardation. Factors associated with unfavorable perinatal outcomes in women with uterine scars are the intergenetic interval of 2 years or less (OR=3.6, 95% CI 1.4 to 9.6, p = 0.009) and placental disorders during the present pregnancy (OR=3.4, 95% CI 1.6 to 7.1, p = 0.001).

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