[Prognosis of delivery on a scar womb: about 123 cases]

During these last two decades, the practitioners are more and more confronted to pregnancies on scar womb. To analyse the behaviour to be held in front of a scar womb and to estimate materno-foetal preview after childbirth [delivery] by vaginal delivery or after a caesarean section at cold. It is about a retrospective study held over 123 cases of patients with a scar womb who gave birth in the department "C" of the CMNT over a period of 2 years. Among the 123 cases of scar womb, 70 patients had a preventive caesarean section. The main indication was a pathological pond. Uterine scar was accepted in 53 women. 25 among them gave birth by vaginal tract and 28 had a casarien section of 2nd intention. There were 4 cases of dehiscence of the scar. 8% of the newborns from vaginal delivery had an apgar < 7 in the 5th mn against [10% in the group of the newborn children stemming from a preventive caesaran-section. Pregnancy on scar womb is a pregnancy at high risk requiring an adapted coverage

Variation in repeat caesarean section complication rates among 3 hospitals in northern Jordan

We investigated the complication rates of repeat caesarean deliveries in 3 hospitals [national health, military, university] in Irbid by examining the obstetric records of 989 women from 1 December 1999 to 30 March 2004. There was a statistically significant difference between the number of previous caesarean sections and hospital. In total, 579 [58.5%] patients underwent elective caesarean section. There were statistically significant differences between hospitals for "failure to progress in labour" and "other" indications for caesarean section. After adjusting for the number of caesarean sections, regression analysis revealed that women from the military and university hospitals were more likely to have placenta praevia. There were no statistically significant differences between hospitals as regards post- operative complications