[Prognosis of delivery from a scared uterus: 123 cases].
BACKGROUND
During these last two decades, the practitioners are more and more confronted to pregnancies on scar womb.


OBJECTIVE
To analyse the behaviour to be held in front of a scar womb and to estimate materno-foetal preview after childbirth (delivery) by vaginal delivery or after a caesarean section at cold.


METHODS
It is about a retrospective study held over 123 cases of patients with a scar womb who gave birth in the department "C" of the CMNT over a period of 2 years.


RESULTS
Among the 123 cases of scar womb, 70 patients had a preventive caesarean section. The main indication was a pathological pond. Uterine scar was accepted in 53 women, 25 among them gave birth by vaginal tract and 28 had a cesarean section of 2nd intention. There were 4 cases of dehiscence of the scar. 8% of the newborns from vaginal delivery had an apgar < 7 in the 5th mn against 10% in the group of the newborn children stemming from a preventive cesarean-section.


CONCLUSIONS
Pregnancy on scar womb is a pregnancy at high risk requiring an adapted coverage.
Ben Brahim
Foued
F
Service C, Centre de Maternité et de néonatalogie de Tunis.
Zeghal
Dorra
D
Mahjoub
Sami
S
Ben Hmid
Rim
R
Zouari
Faouzia
F
D000328:Adult; D002585:Cesarean Section / Q000706:statistics & numerical data*; D017604:Cesarean Section, Repeat / Q000706:statistics & numerical data; D002921:Cicatrix / Q000473:pathology*; D036861:Delivery, Obstetric / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D011247:Pregnancy; D011256:Pregnancy Outcome; D011379:Prognosis; D012189:Retrospective Studies; D012306:Risk; D012307:Risk Factors; D014597:Uterine Rupture / Q000517:prevention & control; D014599:Uterus / Q000473:pathology*; D016064:Vaginal Birth after Cesarean / Q000009:adverse effects