FORECASTING METHOD Genera vaginally in women with a uterine scar after one caesarean section

摘要

A method of predicting birth vaginally in pregnant women with uterine scar after a cesarean section, made cross-sectional view in the lower uterine segment, comprising determining the degree of cervical maturity and the effect of the preparation of the soft birth canal for childbirth, characterized in that it further evaluated following clinical -anamnesticheskie predictors: natural birth after cesarean delivery, clinical symptoms threatening uterine rupture, indications for cesarean section and purulent-septic complications after not th, Prognostic Index is then calculated by the following equation: Ψ = 25,24H1 1,71H2 + + 1,99X3 + 0,378X4 + 0,15X5-28,7; where X1 - natural childbirth after cesarean section: 0 - Availability 1 - no; X2 - the degree of cervical maturity and the effect of the preparation of soft birth canal for childbirth, codes 0, 1, 2, 4: 0 - do not fully ripe and mature and effective training, 1 - immature and mature and effective preparation, 2 - not fully ripe and mature, and the lack of effect of the preparation, 4 - immature and mature, and the lack of effect of training; X3 - threatening clinical symptoms uterine rupture: 0 - no, 1 - presence; X4 - testimony to the first caesarean section, codes 0, 1, 2, 4: 0 - medical or social, 1 - breech presentation of the fetus and / or placenta previa, 2 - hypoxia fruit and / or premature detachment of the placenta, 4 - uterine inertia or clinically narrow pelvis or preeclampsia; X5 - pyo-septic complications after the first cesarean delivery: 0 - no, 1 - presence and Ψ -2,94 believe that through the delivery forecast vaginally favorable.