Routine previous cesarean scar exploration following successful vaginal delivery. Is it necessary?
Among the 960 women who successfully delivered by vaginal route after previous cesarean section, 10 (1.04%) had complete lower segment scar rupture over a 9 year period. All were sufficiently symptomatic in order to suspect a ruptured uterus prior to scar exploration. We conclude that lower uterine segment palpation should be reserved only for symptomatic patients.
Lurie
S
S
Department of Obstetrics and Gynecology, Kaplan Hospital, Rehovot, Israel.
Hagay
Z
Z
Goldschmit
R
R
Insler
V
V
D002585:Cesarean Section / Q000009:adverse effects*; D002921:Cicatrix / Q000150:complications*; D005260:Female; D006801:Humans; D007744:Obstetric Labor Complications / Q000517:prevention & control*; D010173:Palpation; D011247:Pregnancy; D014597:Uterine Rupture / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control*