[Prognosis of delivery from a scared uterus: 123 cases].

BACKGROUND

During these last two decades, the practitioners are more and more confronted to pregnancies on scar womb.

AIM

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.

METHODS

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.

RESULTS

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 cesarean 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 cesarean-section.

CONCLUSION

Pregnancy on scar womb is a pregnancy at high risk requiring an adapted coverage.