Detailed Information on Publication Record
2016
Incidence císařského řezu a úspěšnost vaginálně vedeného porodu u těhotných po myomektómii
MEKINOVA, L., Petr JANKŮ, E. FILIPINSKA, J. KADLECOVA, Pavel VENTRUBA et. al.Basic information
Original name
Incidence císařského řezu a úspěšnost vaginálně vedeného porodu u těhotných po myomektómii
Name (in English)
Cesarean section incidence and vaginal birth success rate at term pregnancy after myomectomy
Authors
MEKINOVA, L. (203 Czech Republic, guarantor), Petr JANKŮ (203 Czech Republic, belonging to the institution), E. FILIPINSKA (203 Czech Republic), J. KADLECOVA (203 Czech Republic) and Pavel VENTRUBA (203 Czech Republic, belonging to the institution)
Edition
Česká gynekologie, Praha, Česká lékařská společnost Jana Evangelisty Purkyně, 2016, 1210-7832
Other information
Language
Czech
Type of outcome
Článek v odborném periodiku
Field of Study
30214 Obstetrics and gynaecology
Country of publisher
Czech Republic
Confidentiality degree
není předmětem státního či obchodního tajemství
References:
RIV identification code
RIV/00216224:14110/16:00093382
Organization unit
Faculty of Medicine
UT WoS
000392653100001
Keywords in English
myomectomy; cesarean section; vaginal delivery
Tags
Tags
International impact, Reviewed
Změněno: 13/5/2020 13:38, Mgr. Tereza Miškechová
V originále
Stanovení incidence primárního a akutního císařského řezu a zhodnocení úspěšnosti vaginálně vedeného porodu po myomektómii. Analýza mateřských komplikací a stavu novorozence u porodu po myomektómii. Typ studie: Prospektivní pilotní kohortová studie. Název a sídlo pracoviště: Gynekologicko-porodnická klinika LF MU a FN Brno. Metodika: Analýza souboru pacientek s fyziologicky probíhající jednočetnou graviditou a termínovým porodem plodu v poloze podélné hlavičkou. Sledovaný soubor s anamnézou myomektomie symptomatického solitérního děložního myomu (n = 67). Kontrolní soubor těhotných bez jizvy na děloze po předchozí operaci (n = 4079). Stanovení incidence primárního a akutního císařského ........) history of myomectomy compared to the control group (n = 20,29.9%; versus n = 396, 9.7 %, p < 0.001). No sta-tistically significant difference in the incidence of acute cesarean section in both groups was recorded (n = 7, 10.4%; versus n =570,14.0%, p = 0.079). No statistically significant difference in the success of vaginal delivery in both groups was recorded (n = 40, 85.1%; versus n = 3113, 84.5%, p = 0.079). The excessive blood loss was the most frequent complication in both group (n=9, 13.4%; versus n = 214, 5.2%, p = 0.057). No statistically significant difference in the incidence of uterine rupture and postpartum hysterectomy was recorded. No maternal oř fetal death related to childbirth was observed. Conclusion: The history of myomectomy does not in-crease the incidence of acute caesarean section in the group of strictly selected patients suitable for vaginal birth and has no impact on the success of vaginal delivery. Careful management of labor is a prerequisite for a low risk of maternal complications and good perinatal outcomes.
In English
To compare the incidence of primary and acute cesarean section (CS) and to compare success rate of vaginal delivery. To determine the frequency of maternal complications and evaluation of post-partum condition of the newborn. Study design: Prospective, pilot, cohort study. Setting: Department of Gynecology and Obstetrics Masaryk University and University Hospital Brno. Methods: Analysis of patients with physiologically ongoing singleton pregnancy and term delivery, vertex presentation. Women from the study group (n = 67) underwent myomectomy because of symptomatic, solitary uterine fibroid. Women from the control group (n = 4079) had no history of myomectomy. Analysis was aimed at comparing the incidence of primary and acute CS and comparing success rate of vaginal delivery in both groups and determing the frequency of maternal complications and evaluation of post-pa rtum condition of the newborn. Results: A significantly higher incidence of primary cesarean section was observed in the study group with a history of myomectomy compared to the control group (n = 20,29.9%; versus n = 396, 9.7 %, p < 0.001). No statistically significant difference in the incidence of acute cesarean section in both groups was recorded (n = 7, 10.4%; versus n =570,14.0%, p = 0.079). No statistically significant difference in the success of vaginal delivery in both groups was recorded (n = 40, 85.1%; versus n = 3113, 84.5%, p = 0.079). The excessive blood loss was the most frequent complication in both group (n=9, 13.4%; versus n = 214, 5.2%, p = 0.057). No statistically significant difference in the incidence of uterine rupture and postpartum hysterectomy was recorded. No maternal or fetal death related to childbirth was observed. Conclusion: The history of myomectomy does not increase the incidence of acute caesarean section in the group of strictly selected patients suitable for vaginal birth and has no impact on the success of vaginal delivery. Careful management of labor is a prerequisite for a low risk of maternal complications and good perinatal outcomes.