Scar Uterus Delivery Management at Tshikaji Hospital

Caesarean sections are increasingly common in both developed and developing countries. When medically justified, caesarean section can effectively prevent maternal and neonatal mortality and morbidity. The increase in caesarean section rates over the last thirty years has led to an increase in the number of scarred uteruses, resulting in high-risk deliveries. Delivery in a scar uterus is common and will become increasingly so as a result of the inevitable increase in caesarean section indications. The objectives of this study were: to determine the frequency of delivery with a scarred uterus; to determine the socio-demographic and obstetrical profile of parturients; to specify the indications for caesarean section in these uteruses; to describe the management methods; and to identify the difficulties encountered in management. This was a retrospective study of 69 observations of women with scar uteri over a total of 852 deliveries in two maternity units at the Hospital during the period from 1 July 2015 to 31 December 2016.