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Ultrasonic antepartum assessment of a classical Cesarean uterine scar and diagnosis of dehiscence
Author(s) -
Avrech O. M.,
Weinraub Z.,
Herman A.,
Ariely S.,
Tovbin Y.,
Bukovsky I.,
Caspi E.
Publication year - 1994
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1046/j.1469-0705.1994.04020151.x
Subject(s) - medicine , uterine rupture , dehiscence , obstetrics , ultrasound , gynecology , surgery , uterus , radiology
Prior classic incision through the uterine corpus carries the most significant risk of catastrophic uterine rupture and subsequent maternal and fetal morbidity or mortality. A trial of labor is not carried out in this group of patients, but the risk of uterine rupture exists during the antepartum period. An accurate and prospective method for diagnosing the presence of uterine defects or documenting their absence would be clinically useful. Our unusual case emphasizes the obvious need for antepartum sonographic scans of the classic uterine scar, starting from the third trimester to term, using the high‐frequency (> 5 MHz) transducer. Copyright © 1994 International Society of Ultrasound in Obstetrics and Gynecology