RUPTURE OF CÆSAREAN SECTION SCAR IN SUBSEQUENT PREGNANCY OR LABOUR.

The Lancet ◽  
1920 ◽  
Vol 196 (5064) ◽  
pp. 591-598 ◽  
Author(s):  
Eardley Holland
Keyword(s):  
Caesarean Section ◽  
Subsequent Pregnancy

scholarly journals Is it necessary to correct a caesarean scar defect before a subsequent pregnancy? A report of three cases

2019 ◽  
Vol 47 (5) ◽  
pp. 2248-2255
Author(s):  
Piotr Szkodziak ◽  
Anna Stępniak ◽  
Piotr Czuczwar ◽  
Filip Szkodziak ◽  
Tomasz Paszkowski ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Preterm Delivery ◽  
Uterine Rupture ◽  
Subsequent Pregnancy ◽  
Surgical Correction ◽  
The Other ◽  
Obstetric Outcome ◽  
Caesarean Scar ◽  
Caesarean Scar Pregnancy ◽  
Caesarean Scar Defect

Rates of caesarean section have increased over recent years and so too have associated complications, one of which is a caesarean scar defect (CSD). The defect may cause gynaecological symptoms, such as menometrorrhagia, infertility, chronic abdominal/pelvic pain or it may be asymptomatic. The presence of CSD may lead to obstetrical sequalae such as preterm delivery, uterine rupture, caesarean scar pregnancy or abnormal placenta implantation. Three cases of CSD are described here. In one case, surgical correction of the CSD was performed before a subsequent pregnancy with an uncomplicated obstetric outcome. In the other two cases, surgical correction of the CSD was not performed and the pregnancies were complicated by caesarean scar dehiscence and caesarean scar pregnancy. We suggest that women with a CSD may benefit from surgical correction of the defect before becoming pregnant to reduce the likelihood of serious complications.

Vaginal birth after Caesarean section: what information should women be given?

Clinical Risk ◽  
2007 ◽  
Vol 13 (4) ◽  
pp. 127-130 ◽  
Author(s):  
Leroy Edozien
Keyword(s):  
Caesarean Section ◽  
Vaginal Delivery ◽  
Unmet Need ◽  
Informed Choice ◽  
Subsequent Pregnancy ◽  
Vaginal Birth ◽  
Sufficient Information ◽  
Evidence Based ◽  
Random Allocation ◽  
Vaginal Birth After Caesarean

With rising Caesarean section (CS) rates, more women are having to consider the choice between an elective CS and a vaginal delivery (VBAC) in their subsequent pregnancy. This paper argues that there is an unmet need for clinicians to provide sufficient information to women in this position, so that the woman's choice can be an informed one. Consent should be evidence-based, but there are currently no published random-allocation studies comparing VBAC with elective repeat CS. However the available evidence could be better used by clinicians to facilitate informed choice.

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