PRENATAL DIAGNOSIS AND CARE OF UTERINE SCAR DEHISCENCE AFTERCESAREAN SECTION

  • Saulė Kržčonavičiūtė VU Medicinos fakultetas
  • Jelena Volochovič VU Medicinos fakulteto Klinikinės medicinos instituto Akušerijos ir ginekologijos klinika, VUL Santaros klinikų Akušerijos ir ginekologijos centras
  • Jolita Zakarevičienė VU Medicinos fakulteto Klinikinės medicinos instituto Akušerijos ir ginekologijos klinika, VUL Santaros klinikų Akušerijos ir ginekologijos centras
  • Dileta Valančienė VU Medicinos fakulteto Radiologijos, branduolinės medicinos ir medicinos fizikos katedros Biomedicinos mokslų institutas, VU Santaros klinikų Radiologijos ir branduolinės medicinos centras
DOI: https://doi.org/10.37499/LAG.1382
Keywords: uterine scar dehiscence, Cesarean section, pregnancy complication, uterine scar

Abstract

One of the possible complications of Cesarean section (CS) is a uterine scar dehiscence (USD) during future pregnancy, manifested by a separation of the uterine musculature with intact uterine serosa. This condition significantly increases the risk of uterine rupture. There are no universal recommendations regarding the evaluation of uterine scar after a CS during pregnancy and the tactics of antenatal care and the time of delivery, thus the tactics are chosen individually in each case. This article describes a case of USD diagnosed during pregnancy and reviews the data of the scientific literature, paying special attention to the recommendations for prenatal diagnosis of USD and the tactics of further antenatal care after identifying the uterine scar.

Published
2024-06-25
Issue
Vol 27 No 2 (2024): Lithuanian Obstetrics & Gynecology
Section
Clinical case