Pitfall in Ultrasound Evaluation of Uterine Scar from Prior Preterm Cesarean Section
| Autor: | Gaétan Paris, Mario Girard, Emmanuel Bujold, Nicole Jastrow, Sarah-Maude B. Laflamme, Laurie Bérubé |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
Lower uterine segment Uterus Dehiscence lcsh:Gynecology and obstetrics scar Article 03 medical and health sciences 0302 clinical medicine dehiscence medicine 030212 general & internal medicine lcsh:RG1-991 uterine rupture Gynecology 030219 obstetrics & reproductive medicine Previous cesarean uterus business.industry Obstetrics ultrasound Ultrasound Obstetrics and Gynecology Gestational age lower uterine segment medicine.disease VBAC 3. Good health Uterine rupture medicine.anatomical_structure Pediatrics Perinatology and Child Health Gestation business |
| Zdroj: | AJP Reports American Journal of Perinatology Reports, Vol 01, Iss 01, Pp 065-068 (2011) |
| ISSN: | 2157-7005 2157-6998 |
| Popis: | We report two cases of women with a previous cesarean performed before active labor at 29 weeks of gestation who underwent sonographic measurement of the lower uterine segment (LUS) at 36 weeks' gestation in their subsequent pregnancy. In both cases, uterine scar defect was detected on the upper part of the LUS, at ~9 to 11 cm from the cervical os, and was only visualized by the transabdominal approach. We suggest that early gestational age and the absence of labor at previous cesarean can lead to a higher uterine scar location on the LUS and, therefore, increase the risk of uterine rupture in subsequent pregnancy. The heterogeneity of uterine scar location could explain discrepancies observed in studies using the transabdominal versus the transvaginal approach or both regarding the predictive value of LUS measurements for uterine rupture. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|