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Third trimester assessment of the uterine scar in women with prior caesarean: what is the evidence?

Jastrow, Nicole; Vikhareva, Olga LU ; Gauthier, Robert J; Irion, Olivier; Boulvain, Michel and Bujold, Emmanuel (2015) In Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology
Abstract
The increasing rate of caesarean delivery is a worldwide concern. A major contributor to this evolution has been a concomitantly decline in vaginal birth after caesarean, because of the risk of intrapartum uterine rupture, which is a rare but potentially catastrophic complication of a trial of labour after caesarean (TOLAC). On the other hand, elective repeat caesarean is associated with surgical complications and risk of abnormal placentation (e.g. placenta accreta) in subsequent pregnancies. Therefore TOLAC is recommended to women with good prognosis of success and low risk of uterine rupture. The published data suggest that sonographic assessment of lower uterine segment in third trimester could potentially play an important role in the... (More)
The increasing rate of caesarean delivery is a worldwide concern. A major contributor to this evolution has been a concomitantly decline in vaginal birth after caesarean, because of the risk of intrapartum uterine rupture, which is a rare but potentially catastrophic complication of a trial of labour after caesarean (TOLAC). On the other hand, elective repeat caesarean is associated with surgical complications and risk of abnormal placentation (e.g. placenta accreta) in subsequent pregnancies. Therefore TOLAC is recommended to women with good prognosis of success and low risk of uterine rupture. The published data suggest that sonographic assessment of lower uterine segment in third trimester could potentially play an important role in the prediction of uterine rupture in women with previous caesarean. (Less)
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organization
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type
Contribution to journal
publication status
published
subject
in
Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology
publisher
John Wiley & Sons
external identifiers
  • PMID:26483275
  • WOS:000373915900002
  • Scopus:84963705844
ISSN
1469-0705
DOI
10.1002/uog.15786
language
English
LU publication?
yes
id
a9badc35-0ee9-44c7-be4c-d6fcdefdddba (old id 8148825)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/26483275?dopt=Abstract
date added to LUP
2015-11-03 18:35:40
date last changed
2016-10-27 15:34:03
@misc{a9badc35-0ee9-44c7-be4c-d6fcdefdddba,
  abstract     = {The increasing rate of caesarean delivery is a worldwide concern. A major contributor to this evolution has been a concomitantly decline in vaginal birth after caesarean, because of the risk of intrapartum uterine rupture, which is a rare but potentially catastrophic complication of a trial of labour after caesarean (TOLAC). On the other hand, elective repeat caesarean is associated with surgical complications and risk of abnormal placentation (e.g. placenta accreta) in subsequent pregnancies. Therefore TOLAC is recommended to women with good prognosis of success and low risk of uterine rupture. The published data suggest that sonographic assessment of lower uterine segment in third trimester could potentially play an important role in the prediction of uterine rupture in women with previous caesarean.},
  author       = {Jastrow, Nicole and Vikhareva, Olga and Gauthier, Robert J and Irion, Olivier and Boulvain, Michel and Bujold, Emmanuel},
  issn         = {1469-0705},
  language     = {eng},
  month        = {10},
  publisher    = {ARRAY(0x874ac98)},
  series       = {Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology},
  title        = {Third trimester assessment of the uterine scar in women with prior caesarean: what is the evidence?},
  url          = {http://dx.doi.org/10.1002/uog.15786},
  year         = {2015},
}