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In recent years, the number of women who are pregnant again with the history of cesarean section, has increased year by year in China. Scarred uterine attracts much attention due to its particularity. This study aimed to understand the knowledge domain and development trends of scarred uterus after cesarean section. Data were obtained from the Web of Science Core Collection databases (WoSCCd) including SSCI and SCI-Expanded. We carried out a comprehensive literature retrieval using index words as follows: “TI=((((prior) OR (previous) OR (after) OR (post)) AND ((cesarean) OR (caesarean))) OR (scarred uterus) OR ((uterine) AND ((scar) OR (scarring) OR (wound))))”. The time interval for the search was from 1999 to 2018, totally 20 years. A document type was only article and the language of article was English. All electronic searches were performed on 15 May 2019. CiteSpace, HistCite, and VOSviewer software were used to facilitate the analysis. The analysis included 1938 bibliographic records. The annual number of publications exhibited the solid increase. A total of 84 countries contributed to the overall published output during the study period. USA published the highest number of publications ( n  = 508, 26.2%), which also had the highest total global citation score (10,826).  American Journal of Obstetrics and Gynecology ,  Obstetrics and Gynecology , and  Journal of Maternal-fetal &amp; Neonatal Medicine  were the top three journals that published the articles. The top 10 productive institutions, such as  Northwestern University ,  Tel Aviv University , and  Karolinska Institute  were located mainly in USA, Israel, and Sweden, and top 10 authors originated totally from USA. Vaginal birth after cesarean, uterine rupture, painless labor, and scar pregnancy were research hotspots and may be promising in the next few years. This bibliometrics provides a comprehensive analysis that delineates the scientific productivity, collaboration, and research hotspots about scarred uterus after cesarean section, which is very helpful to focus on the future research direction.

Research trends of pregnancy with scarred uterus after cesarean: a bibliometric analysis from 1999 to 2018