ArticleAnnals of medicine2021
Uterine dehiscence in pregnant with previous caesarean delivery.
Article in Annals of medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Accuracy of multimodal vaginal ultrasound in the detection and assessment of scar healing after caesarean section: a correlational meta-analysis.Annals of medicine · 2025Pooled it
- Association between gestational age at planned repeat cesarean delivery and uterine scar dehiscence.Archives of gynecology and obstetrics · 2026Article
- Nine years' experience of trial of labor after two previous cesarean sections at a tertiary hospital - A retrospective cohort study.Acta obstetricia et gynecologica Scandinavica · 2026Article
- Assessment of postoperative uterine isthmus thickness on MRI after surgical resection of retrocervical deep infiltrating endometriosis.Abdominal radiology (New York) · 2026Observational
- Successful repair of spontaneous uterine rupture in the second trimester of pregnancy with progression to live birth.Case reports in perinatal medicine · 2026Article
- Successful management of cesarean scar pregnancy progressive to placenta accreta spectrum: An uncommon condition in Vietnam and mini-review of the literature.International journal of surgery case reports · 2025Article
- Article
- Prenatal Detection and Conservative Management of Uterine Scar Dehiscence in Patient with Previous Uterine Rupture and Multiple Surgeries-A Case Report.Healthcare (Basel, Switzerland) · 2024Article
- Secondary postpartum hemorrhage due to uterine scar dehiscence, a case report.International journal of surgery case reports · 2023Article
- Conservative management of complete fetal expulsion into the abdominal cavity after silent uterine rupture - case report.BMC pregnancy and childbirth · 2023Article
- Unexpected Uterine Rupture-A Case Report, Review of the Literature and Clinical Suggestions.Journal of clinical medicine · 2023Article
- 3D and cinematic rendering of abdominopelvic pathology in the peripartum period.Abdominal radiology (New York) · 2023Review
- Intra-operative Diagnosis of Lower Segment Scar Dehiscence in a Second Gravida After One Previous Lower Segment Cesarean Section: Should We Advocate for Routine Antenatal Uterine Scar Thickness Testing?Clinical medicine insights. Case reports · 2023Article
- Spontaneous cesarean scar dehiscence during pregnancy: A case report and review of the literature.SAGE open medical case reports · 2023Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe main risk factor for uterine scar dehiscence is a previous caesarean section. Better characterisation of the ultrasonographic features of uterine scar dehiscence may improve preoperative diagnostic accuracy in pregnant women with a caesarean scar. This study aimed to evaluate the ultrasonographic features of uterine scar dehiscence in pregnant women and maternal and neonatal outcomes. MATERIALS AND
methodsThis was a retrospective review of the records of 23 women with a previous caesarean section found to have uterine scar dehiscence during surgery. The integrity and thickness of the lower uterine segment were recorded, ultrasonographic features were evaluated, and maternal and infant outcomes were analysed.
resultsOf the 23 cases of uterine scar dehiscence, six were detected by preoperative ultrasonography, while 17 were missed. The ultrasonographic features of the 23 cases of uterine dehiscence included anechoic areas protruding through the caesarean section scar with an intact serosal layer (4/23), disappearance of the muscular layer (2/23), and a thinner lower uterine segment (17/23). There were no cases of maternal or neonatal mortality. One woman chose to undergo pregnancy termination.
conclusionPreoperative detection of uterine scar dehiscence in women with previous caesarean delivery helps prevent maternal and neonatal morbidity and mortality. However, the maximum benefit can only be obtained by scanning at appropriate intervals during pregnancy and accurate recognition of the ultrasonographic features of uterine scar dehiscence.KEY MESSAGESPreoperative detection of uterine scar dehiscence in women with previous caesarean delivery helps prevent maternal and neonatal morbidity and mortality.Scanning at appropriate intervals during pregnancy and accurate recognition of the ultrasonographic features of uterine scar dehiscence could be beneficial.Even when uterine dehiscence is detected by ultrasound during the second trimester, conservative management via strict observation alone is also feasible.
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