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

ABSTRACT

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