Objective. Analyze the profile of women giving birth with a scarred uterus at the University Hospital Center of Brazzaville. Patients and Method. Monocentric case-control study conducted from June 1 to December 31, 2021, at the University Hospital Center of Brazzaville, comparing 88 women in labor with a single-scar cesarean uterus and 176 women in labor with a healthy non-myomatous uterus. The variables studied concerned the prepartum and peripartum periods. The p-value of the probability was considered significant for a value less than 0.05. Results. The women who gave birth with a scarred uterus were older (31 vs 28 years old; p<0.05); paucigest (OR=2.7[1.5-4.8]; p<0.05); not referred (OR=1.7[1.01-2.9]; p<0.05); followed in private clinics (OR=1.8 [1.01-3.4]; p<0.05); by obstetricians (OR=1.7[1.02-3.04]; p<0.05). They benefited the most from the prognosis of childbirth (OR=2.9[1.5-5.5]; p<0.05) and carried out the preoperative assessment (OR=3.9[1.4-11.2]; p<0.05) and the pre-anaesthetic consultation (OR=32.8 [4.2-255.2]; p<0.05). Caesarean section was the preferred delivery route (OR=1.9[1.1-3.2]; p<0.05) and prophylactically (15.6% vs 1.6%; p<0.05). The maternal prognosis was not influenced by the presence of the uterine scar. Conclusion. The profile of the mother with a scarred uterus differs from that of mothers with a healthy uterus. Prenatal contacts refocused on the scar, the prognosis of childbirth and the monitoring of labor are necessary to improve maternal prognosis.
| Published in | Journal of Gynecology and Obstetrics (Volume 11, Issue 6) |
| DOI | 10.11648/j.jgo.20231106.12 |
| Page(s) | 137-142 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2023. Published by Science Publishing Group |
Scarred Uterus, Epidemiology, Childbirth, Prognosis
| [1] | Cassignol C, Rudigoz RC. Pregnancy and scarred uterus. Encycl Med Chir. Gynecology/Obstetrics, 5-016-D-20, 2003, 15 p. |
| [2] | Ercole C, Bretelle F, Piéchon L, Shojai L, Boubli L. Is cesarean section indicated in cases of scarred uterus. J Gynecol Obstet Biol Reprod 2000; 29: 51-67. |
| [3] | WHO, HRP [homepage on the Internet]. Geneva: WHO statement on cesarean section rate. Geneva. [Updated April 2015]. Available at: https://www.who.int/reproductivehealth/publications/maternal_perinatal_health/cs-statement/en. |
| [4] | Itoua C, Iloki IIS, Buambo GRJ. Caesarean in Case of Scar Uterus: Indications and Maternal and Neonatal Prognosis at the University Hospital of Brazzaville (Republic of Congo). J Gynecol Obstet 2019; 7 (2): 56-9. |
| [5] | Dembélé A, Tarnagda Z, Ouedraogo JL. Outcome of deliveries on a scarred uterus in a university hospital in Burkina. Pan Afr Med J 2012; 12: 95-102. |
| [6] | Baldé IS, Sy T, Diallo A. Childbirth in a context of scarred uterus in the maternity ward of the Ignace-Deen national hospital (Guinea). Rev Med Perinat 2017; 9 (1): 32-6. |
| [7] | Valere MK, Henri E, Julius DS. Childbirth on a scarred uterus in low-resource countries: Care circuit and maternal-fetal outcome (2014). Pan Afr Med J 2018; 30: 255. |
| [8] | Branger B, Dochez V, Gervier S, Winer N. Cesarean section after induction of labor: risk factors and prediction score. J Gynecol Obstet Fertil & Senol 2018; 46 (5): 458-65. |
| [9] | Aubert M, Heckenroth H, Guidicelli B. Evaluation of the follow-up of the recommendations concerning the information of patients with a scarred uterus on their mode of delivery. J Gynecol Obstet Biol Reprod 2016; 45 (5): 490-5. doi: 10.1016/j.jgyn.2015.06.016. |
| [10] | Sima Ole B, Bang Ntamack J, Obame R, Bibang F, Mewie Lendzinga A, Nzogue Nguema JP. Scar uterus: Epidemiologic aspects and kind of delivery in the maternity of the CHU of Owendo (Gabon). Bull Med Owendo 2017; (15) 43: 45-51. |
| [11] | Kitenge FM, Chenge FM, Kinenkinda XK et al. Vital outcome, maternal and perinatal morbidity and mortality following delivery with scarred uterus in some hospital facilities in the Democratic Republic of Congo. Ann Afr Med 2017; (10) 2: 2525-34. |
| [12] | Mankuta DD, Leshno MM, Menasche MM, Brezis MM. Vaginal birth after cesarean section: trial of labor or repeat cesarean section? A decision analysis. Am J Obstet Gynecol 2003; 189 (3): 714-9. |
| [13] | Koulimaya-Gombet CE, Diouf AA, Diallo M et al. Pregnancy and delivery of patients with a history of cesarean section in Dakar: epidemiological, therapeutic, and prognostic aspects. Pan Afr Med J 2017; 27: 135. |
| [14] | World Bank. Literacy rate of adult women (% of women aged 15 and over). [Consulted September 23, 2022]. Available at: https://donnees.banquemondiale.org/indicator/SE.ADT.LITR.FE.ZS. |
| [15] | National Center for Statistics and Economic Studies, Ministry of Health, and Population. Congo demographic health survey 2011-2012. Preliminary report: 10-12. |
| [16] | Anandane BT. Pre-anesthetic consultation in obstetrics Evaluation of practices in two maternity hospitals in Île-de-France. Thesis for the state diploma of Doctor of Medicine. Faculty of Medicine Paris Descartes; 2015, 28p. |
| [17] | Haumonté JB, Raylet M, Sablani L. What factors influence the route of delivery in the event of an attempted vaginal delivery on a scarred uterus. J Gynecol Obstet Biol Reprod 2012; 41: 735-52. |
| [18] | Mongbo V, Ouendo EM, De Brouwere V. Quality cesarean section: cross-sectional study in 12 hospitals in Benin. Rev Epid Sant Pub 2016; 64: 281–93. |
APA Style
Gauthier Regis Jostin, B., Sekangue Samantha Nuelly, P., Ickobo Nogaelle, O., Jules César, M., Max Levy Emery, E., et al. (2023). Profile of Women Giving Birth with a Scarred Uterus at the Brazzaville University Hospital Center (Republic of Congo). Journal of Gynecology and Obstetrics, 11(6), 137-142. https://doi.org/10.11648/j.jgo.20231106.12
ACS Style
Gauthier Regis Jostin, B.; Sekangue Samantha Nuelly, P.; Ickobo Nogaelle, O.; Jules César, M.; Max Levy Emery, E., et al. Profile of Women Giving Birth with a Scarred Uterus at the Brazzaville University Hospital Center (Republic of Congo). J. Gynecol. Obstet. 2023, 11(6), 137-142. doi: 10.11648/j.jgo.20231106.12
AMA Style
Gauthier Regis Jostin B, Sekangue Samantha Nuelly P, Ickobo Nogaelle O, Jules César M, Max Levy Emery E, et al. Profile of Women Giving Birth with a Scarred Uterus at the Brazzaville University Hospital Center (Republic of Congo). J Gynecol Obstet. 2023;11(6):137-142. doi: 10.11648/j.jgo.20231106.12
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.jgo.20231106.12,
author = {Buambo Gauthier Regis Jostin and Potokoue Sekangue Samantha Nuelly and Ongagna Ickobo Nogaelle and Mokoko Jules César and Eouani Max Levy Emery and Itoua Clautaire},
title = {Profile of Women Giving Birth with a Scarred Uterus at the Brazzaville University Hospital Center (Republic of Congo)},
journal = {Journal of Gynecology and Obstetrics},
volume = {11},
number = {6},
pages = {137-142},
doi = {10.11648/j.jgo.20231106.12},
url = {https://doi.org/10.11648/j.jgo.20231106.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20231106.12},
abstract = {Objective. Analyze the profile of women giving birth with a scarred uterus at the University Hospital Center of Brazzaville. Patients and Method. Monocentric case-control study conducted from June 1 to December 31, 2021, at the University Hospital Center of Brazzaville, comparing 88 women in labor with a single-scar cesarean uterus and 176 women in labor with a healthy non-myomatous uterus. The variables studied concerned the prepartum and peripartum periods. The p-value of the probability was considered significant for a value less than 0.05. Results. The women who gave birth with a scarred uterus were older (31 vs 28 years old; pConclusion. The profile of the mother with a scarred uterus differs from that of mothers with a healthy uterus. Prenatal contacts refocused on the scar, the prognosis of childbirth and the monitoring of labor are necessary to improve maternal prognosis.
},
year = {2023}
}
TY - JOUR T1 - Profile of Women Giving Birth with a Scarred Uterus at the Brazzaville University Hospital Center (Republic of Congo) AU - Buambo Gauthier Regis Jostin AU - Potokoue Sekangue Samantha Nuelly AU - Ongagna Ickobo Nogaelle AU - Mokoko Jules César AU - Eouani Max Levy Emery AU - Itoua Clautaire Y1 - 2023/11/17 PY - 2023 N1 - https://doi.org/10.11648/j.jgo.20231106.12 DO - 10.11648/j.jgo.20231106.12 T2 - Journal of Gynecology and Obstetrics JF - Journal of Gynecology and Obstetrics JO - Journal of Gynecology and Obstetrics SP - 137 EP - 142 PB - Science Publishing Group SN - 2376-7820 UR - https://doi.org/10.11648/j.jgo.20231106.12 AB - Objective. Analyze the profile of women giving birth with a scarred uterus at the University Hospital Center of Brazzaville. Patients and Method. Monocentric case-control study conducted from June 1 to December 31, 2021, at the University Hospital Center of Brazzaville, comparing 88 women in labor with a single-scar cesarean uterus and 176 women in labor with a healthy non-myomatous uterus. The variables studied concerned the prepartum and peripartum periods. The p-value of the probability was considered significant for a value less than 0.05. Results. The women who gave birth with a scarred uterus were older (31 vs 28 years old; pConclusion. The profile of the mother with a scarred uterus differs from that of mothers with a healthy uterus. Prenatal contacts refocused on the scar, the prognosis of childbirth and the monitoring of labor are necessary to improve maternal prognosis. VL - 11 IS - 6 ER -
Department of Obstetrics and Gynecology, University Hospital Center of Brazzaville, Brazzaville, Congo; Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Congo
Department of Obstetrics and Gynecology, University Hospital Center of Brazzaville, Brazzaville, Congo; Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Congo
Department of Obstetrics and Gynecology, University Hospital Center of Brazzaville, Brazzaville, Congo
Department of Obstetrics and Gynecology, University Hospital Center of Brazzaville, Brazzaville, Congo; Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Congo
Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Congo
Department of Obstetrics and Gynecology, University Hospital Center of Brazzaville, Brazzaville, Congo; Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Congo
Information