[Delivery in the presence of cicatricial uterus. Apropos of 150 cases].

Abstract

Analysis of 150 cases of women with uterine scarring seen in our unit showed that vaginal delivery was possible in 49.7% of them provided that a number of rules, which the authors particularly stress, are applied. An attempt has been made to define factors likely to weaken the uterus and predispose to uterine rupture. Our maternal mortality rate of 0.6%, often due to infection and bleeding, agrees with that of the literature. The 0.4% uterine rupture rate was related to lack of health education of pregnant women. Fetal status at birth was usually good after vaginal delivery. The authors feel that knowledge of the circumstances of the first cesarean section and the subsequent course is essential, while hysterosalpingography has a major role to play in the choice of the most appropriate type of delivery.