The cesarean section scar defect, also known as an isthmocele, has become an important diagnosis for women who present with abnormal uterine bleeding, pelvic pain and secondary infertility. It is important for providers to be aware of the effective surgical treatment options for the symptomatic isthmocele. A minimally invasive approach, whether it be laparoscopic or hysteroscopic, has proven to be a safe and effective option in reducing symptoms and improving fertility. VIDEO ABSTRACT: http://links.lww.com/COOG/A37.
India has made tremendous progress in reducing maternal mortality, lowering the maternal mortality ratio by over 50% between 2004-2006 and 2016-2018. 1,2 Postpartum hemorrhage (PPH) is the leading cause of maternal death in India, accounting for between 19.9% and 38% of maternal deaths annually. 3,4 Many cases of PPH can be effectively managed with low-cost solutions such as active management of the third stage of labor and uterotonics. 5,6 However, in refractory cases, high-resource surgical interventions such as uterine artery ligation, B-lynch sutures, or hysterectomy may be necessary.
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