TITLE:
Delivery on Scarred Uterus at Souro Sanou Teaching Hospital, Burkina Faso (about 531 Cases)
AUTHORS:
Yaméogo Rélwendé Barnabé, Kaboré Ahmed, Komboigo Béwendin Evélyne, Somé Der Adolphe, Bambara Moussa
KEYWORDS:
Scarred Uterus, Delivery, Bobo Dioulasso
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.12 No.9,
September
8,
2022
ABSTRACT: Introduction: Therapeutic conduct for delivery via a scarred uterus is controversial
in modern obstetrics. Some authors recommend a ceasarean
section. The purpose of this study was to analyse the conduct and prognosis of
delivery via scarred uterus at Souro Sanou Teaching Hospital in Bobo-Dioulasso. Methods: We conducted a descriptive cross-sectional study from January 1
to December 31, 2017. Data were collected from medical, birth, and operating room records. Result: In
total, 531 scared uterus deliveries and 5293 deliveries have been recorded in
our study; the frequency of deliveries via a scarred uterus was 9.96%. The
average age of the patients was 28.02 years old, with extremes of 17 and 44
years. The average parity was 2.34, with extremes of 1 and 8. Patients with a
spacing interval between births of at least 24 months accounted for 86.6% of
observed patients. Patients with a single scar uterus made up 70.6% of the
population. There were 349 (65.73%) patients who had an emergency caesarean
section during a previous delivery. The trial of vaginal delivery via a scarred
uterus was conducted on 182 patients with a success rate of 89.56%. There was no maternal
death. However, we noted 23 foetal deaths (4.33%). Conclusion: More than
50% of parturient women with a single caesarean uterine scar who underwent
the uterine test gave birth vaginally in our department. However, like most
previous studies on the subject, we recommend vaginal delivery in the presence
of a prior caesarean-scarred uterus whenever possible.