Issues surrounding childbirth in women with scarred uteruses

Depuis la deuxième moitié du XXème siècle, et plus particulièrement après la fin de la Seconde Guerre mondiale, la protection des droits de l'enfant est devenue une question centrale, étant donné qu'il y avait un écart important entre les droits légitimes des enfants et les actions entreprises pour leur réhabilitation sociale. Entre inflation législative au niveau des Etats engagés pour la cause et durcissement des conflits armés, la vérité autour de la protection de l'enfant n'est pas simple et la marge de manoeuvre des dirigeants limitée au regard de la confrontation des enfants aux risques des armes. Quoi de plus normal que d'inviter les actuels et potentiels belligérants en RDC à une attitude responsable face aux escalades violentes dans la prise en compte de l'aspect humain, et dans ce cas précis la sécurité ainsi que l'assistance à offrir aux enfants.

Autorentext

I am a Malian doctor of human medicine, born on March 28, 1998 in Mopti, one of the regions of Mali.

Klappentext

What to do with a scarred uterus is one of the most debated topics in modern obstetrics, due to the considerable increase in caesarean delivery rates.Aim: The aim of our work was to study deliveries with a scarred uterus in the gynecology and obstetrics department at the hospital in Mopti.Methodology: We conducted a descriptive cross-sectional study from September 1, 2021 to August 31, 2022 at the Sominé Dolo Hospital in Mopti.Results: During the study period, we recorded 126 cases of delivery on scar uteri out of 2029 deliveries, i.e. an overall frequency of 6.2%. The 20-35 age group was the most represented in our study, with a mean age of 27.51 years and extremes of 18 and 45 years respectively.Uterine testing was indicated in 60.31% of parturients in our study, with a success rate of 68.4%. Caesarean section was performed in 31.6% of cases where uterine testing failed. Indications were dominated by acute fetal distress and dynamic dystocia. We noted 1 case of maternal death (1.3%) due to haemorrhage.