MORPHOLOGICAL FEATURRES OF UTERINE STRACHING SYNDROME AND THE RISK OF MATERNAL MORTALITY IN MULTIPAROUS WOMEN

This study examines the structural morphological changes occurring in the uterus of multiparous women and their direct correlation with obstetric complications, specifically the risk of maternal mortality. Repeated childbirth experiences lead to irreversible pathological remodeling of the uterine muscular tissue (myometrium). Morphological examinations indicate a singnificant reduction in the number of functional muscle cells (myocytes) with the uterine wall, replaced by collagen and connective tissue (fibrosis). This process drastically reduces utereni elasticity and weakens its contractile capability (retraction). Furthermore, sclerotic changes occur in the uterine blood vessels, impairing blood circulation These histological alterations are the primary cause of postpartum hypotonic hemorrhage. Additionally, the thinning and scarring of the uterine wall increase the risk of uterine rupture during labor multi-fold. Research findings confirm that "multiparous uterine syndrome" is one of the most critical risk factors influencing maternal mortality rates, necessitating special attention during pregnancy and high-specialized medical care during childbirth for these patients..