Tzankova M, Nikolov A, Pirnareva E
Akush Ginekol (Sofiia). 2014;53(4):29-32.
The Cesarean section rate in University Maternity Hospital 'Maichin dom' is 46 to 48%. The rate of repeated Cesarean section is also increasing. However there is an increasing number of women wishing to deliver vaginally after having had a Cesarean section for their first baby. On the other hand, with postponing pregnancy, increasing number of woman nowadays experience surgeries on their uterus prior to giving birth. With regards to the above-mentioned, pregnancy in scarred uterus is a common thing. Examining the uterine scar gives valuable information for the risk of uterine rupture during pregnancy and the decision making on the safest way of delivery. The current article shows ultrasound pics of uterine scar in pregnant and non-pregnant uterus. Gives recommendations for the timing of the US examination and the reference range for thickness of the uterine scar (residual myometrial thickness) in the view of the risk of rupture and the safest way of delivery. All this information is based on the most recent clinical trials.
“迈钦多姆”大学妇产医院的剖宫产率为46%至48%。再次剖宫产率也在上升。然而，越来越多的女性在首次剖宫产分娩后希望经阴道分娩。另一方面，随着怀孕时间推迟，如今越来越多的女性在分娩前接受子宫手术。鉴于上述情况，瘢痕子宫妊娠很常见。检查子宫瘢痕可为孕期子宫破裂风险及最安全分娩方式的决策提供有价值的信息。本文展示了妊娠子宫和非妊娠子宫的子宫瘢痕超声图像。鉴于破裂风险和最安全的分娩方式，给出了超声检查时机的建议以及子宫瘢痕厚度（残余肌层厚度）的参考范围。所有这些信息均基于最新的临床试验。
