The true incidence of silent rupture of cesarean section scars

Pedowitz, Paul; Schwartz, Ralph M.

doi:10.1016/0002-9378(57)90159-x

Cited by 46 publications

(11 citation statements)

References 12 publications

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“…Much evidence for this continues to be found by routine hystero-graphy as a follow-up of Caesarean section (Poidevin and Bockner, 1958;Le Page et al, 1959;Varangot et al, 1959;Poidevin, 1961). Pedowitz and Schwartz (1957), in their valuable study, found 48 ruptures from 482 previous Caesarean sections, thus quoting a 10 per cent incidence. Rivaet al (1957), searching for defects of 1 centimetre or more, found an incidence of 13.8 per cent.…”

mentioning

confidence: 98%

Histopathology of Caesarean Section Wounds. An Experimental Study

Poidevin¹

1962

Obstetrical & Gynecological Survey

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mentioning

confidence: 98%

Histopathology of Caesarean Section Wounds. An Experimental Study

Poidevin¹

1962

Obstetrical & Gynecological Survey

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“…In a comprehensive review, Dewhurst (1956) reported that the incidence of classical 5car rupture was 2.2% overall but increased to 4.7% if patients went into labour and 8.9% if patients had a vaginal delivery. In a prospective study, Pedowitz & Schwartz (1957) found the incidence of classical scar 'silent' rup-ture to be 18.2%. These ruptures were all incidental findings at the time of operation.…”

Section: Discussionmentioning

confidence: 98%

Classical versus low‐segment transverse incision for preterm caesarean section: maternal complications and outcome of subsequent pregnancies

Halperin

Moore

Hannah

1988

BJOG

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Summary. In a retrospective, controlled, follow‐up study of 326 women who had a primary preterm caesarean section, the risks of postoperative maternal morbidity and uterine rupture or dehiscence in subsequent pregnancies were investigated in relation to the mode of incision (classical compared with low‐segment transverse incision). The classical incision was associated with a higher frequency of postpartum fever in the immediate postoperative period (16% compared with 6%, P<0·01). Of the 326 patients reviewed 286 (88%) were contacted for information about subsequent pregnancies. Information was obtained for 70 pregnancies subsequent to a classical caesarean section, and 71 pregnancies subsequent to a low‐segment transverse caesarean section, which had continued for more than 20 weeks gestation. Of the pregnancies after the classical operation 13% had abnormal scars compared with none of those after the low‐segment transverse operation (P=0·0014). The frequency of scar dehiscence was 6% after a classical scar compared with none after a low‐segment transverse scar (P=0·0581).

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“…When the low vertical incision is buried beneath a previously dissected uterovesical fold of visceral peritoneum, soilage can be prevented (12). Therefore, the incidence of blood transfusion and its associated complications is minimized.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, the incidence of blood transfusion and its associated complications is minimized. When the low vertical incision is buried beneath a previously dissected uterovesical fold of visceral peritoneum, soilage can be prevented (12). This is not possible with a classical incision.…”

Section: Discussionmentioning

confidence: 99%

Low Vertical Uterine Incision in Caesarean Section

George

Kuah

1987

Aust NZ J Obst Gynaeco

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Eleven of the 3,420 Caesarean sections performed in Westmead Hospital, Sydney during a 6-year period from 1979 to 1985 were by a low vertical uterine incision. All the others were the standard transverse lower segment operation except for 1 which was a postmortem classical Caesarean section. There are indications when the preferred lower segment Caesarean section with a transverse incision should be avoided in the interest of the mother and baby. A low vertical incision has more advantages and less dangers than a classical fundal incision. It is prudent to defer the decision regarding the type of incision until the uterus is inspected intraoperatively. If access to the lower uterine segment is limited by prematurity, an obstructing lesion, a transverse lie, or if the presenting part is high and difficulty in delivering the baby is anticipated, a low vertical incision should be considered.

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The true incidence of silent rupture of cesarean section scars

Cited by 46 publications

References 12 publications

Histopathology of Caesarean Section Wounds. An Experimental Study

Histopathology of Caesarean Section Wounds. An Experimental Study

Classical versus low‐segment transverse incision for preterm caesarean section: maternal complications and outcome of subsequent pregnancies

Low Vertical Uterine Incision in Caesarean Section

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