THE ROLE OF ULTRASONIC STUDY IN THE DIAGNOSIS OF UTERINE SCAR FAILURE IN PREGNANT WOMEN AFTER CESAREAN SECTION

The significant frequency of cesarean sections, which has been 15-30% or more in recent years, leads to a pressing problem — an increase in the number of women of reproductive age with a uterine scar. The postulate "once a cesarean section — always a cesarean section", which is dominant in the management of this contingent of women, should become a thing of the past. According to the authors, the frequency of conservative delivery of women with a uterine scar after a cesarean section ranges from 30 to 70%. The choice of tactics for managing labor in such women mainly depends on the condition of the uterine scar. Difficulties in assessing the condition of the uterine scar during pregnancy are due to the lack of expression of clinical symptoms and limitations in the use of objective research methods. According to the authors, such a clinically significant symptom as local pain during palpation in the lower abdomen with scar failure is detected only in 18.3% of cases. Methods for examining the condition of the uterine scar during pregnancy are very limited, and practically the only one is ultrasound scanning (ultrasound).