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Vaginal delivering after five caesarean sections

https://doi.org/10.24884/1607-4181-2025-32-1-98-101

Abstract

This article presents a clinical case of the first vaginal delivery of the 44-year-old patient, who previously had five caesarean sections. the patient arrived at the hospital during the beginning of the second stage of labor. According to an mri-test conducted two months after the delivery, the thickness of myometry in the scars area of the uterus ranged from 7 to 16 mm.

About the Authors

J. A. Coconina
Vsevolozhsk Clinical Interdistrict Hospital
Russian Federation

Kokonina Julia A., Dr. Of Sci. (Med.), Head of the Maternity Hospital

20, Koltushskoe shosse, Leningrad Region, Vsevolozhsky District, Vsevolozhsk, 188643



M. Yu. Korshunov
Vsevolozhsk Clinical Interdistrict Hospital; Pavlov University
Russian Federation

Korshunov Mikhail Y., Dr. of Sci. (Med.), Аssociate Professor, Аssociate Professor of the Department Of Obstetrics, Gynecology and Reproductology

20, Koltushskoe shosse, Leningrad Region, Vsevolozhsky District, Vsevolozhsk, 188643

6-8, L’va Tolstogo str., Saint Petersburg, 197022



U. M. Chuprun
Pavlov University
Russian Federation

Chuprun Uliana M., Student

6-8, L’va Tolstogo str., Saint Petersburg, 197022



S. D. Churakova
Pavlov University
Russian Federation

Churakova Svyatoslava D., Student

6-8, L’va Tolstogo str., Saint Petersburg, 197022



References

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2. Levakov S. A., Borovkova E. I., Gabitova N. A. Delivery of patients with scarring of the uterus after caesarean section // Akusherstvo I gynecologia. 2015;7:5–8. (In Russ.).

3. Guise J. M., Denman M. A., Emeis C. et al. Vaginal birth after cesarean: new insights on maternal and neonatal outcomes // Obstet. Gynecol. 2010;115(6):1267–78.

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5. Letter of Ministry of Health of Russian Federation of 19.02.2019 №15-4/I/2-1286 On sending a methodological letter on the implementation of the classification of a caesarean section M.Robson. URL: https://www.garant.ru/products/ipo/prime/doc/72123126/?ysclid=m3da7tvonf162926374 (accessed: 11.11.2024). (In Russ.).

6. Clinical recommendation – Post-operative scar on the uterus requiring medical assistance to the mother during pregnancy, baby delivering and postpartum period – 2021-2022-2023 (20.01.2023) – Stated by Ministry of Health of Russian Federation. Moscow, 2021. URL: https://cr.minzdrav.gov.ru/schema/635_1?ysclid=m3da65c3vg410402666 (accessed: 11.11.2024). (In Russ.).

7. Vuchenovich Yu. D., Olenev A. S., Novikova V. A., Radzinsky V. E. Caesarean section: risk and security boundaries // Akusherstvo I gynecologia: novosti, mneniya, obuchenie. 2019;7(3):93–101. (In Russ.).


Review

For citations:


Coconina J.A., Korshunov M.Yu., Chuprun U.M., Churakova S.D. Vaginal delivering after five caesarean sections. The Scientific Notes of the Pavlov University. 2025;32(1):98-101. (In Russ.) https://doi.org/10.24884/1607-4181-2025-32-1-98-101

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ISSN 1607-4181 (Print)
ISSN 2541-8807 (Online)