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Dehiscence of cesarean section scar during pregnancy and delivery — risk factors
, 2, 12, 12, 12
Affiliations- Galilee Medical Center, Nahariya, Israel
- Azrieli Faculty of Medicine, Bar Ilan University, Safed, Israel
open access
Abstract
Objective: We wanted to identify risk factors for dehiscence of cesarean section (CS) scars in patients undergoing repeated
cesarean section.
Material and methods: This was a retrospective case-control study over a 3-year period in our medical center (2011–2014),
comparing women who had repeated CS without complications and women diagnosed with dehiscence. Data were collected
from medical records and the groups were compared for demographic and obstetrical data.
Results: Dehiscence was identified in 27 women, while 54 women without dehiscence were the control group. Statistically
significant differences were found in the need for augmentation, the number of previous cesarean sections, cesarean section
in the active phase of labor and length of hospitalization.
Discussion: The need for augmentation of labor, CS in the nonactive stage and more than one cesarean section, all increased
the risk of dehiscence. There was no association between dehiscence and scar pain, time elapsed since the previous
cesarean section, the method of wound closure or fever.
Abstract
Objective: We wanted to identify risk factors for dehiscence of cesarean section (CS) scars in patients undergoing repeated
cesarean section.
Material and methods: This was a retrospective case-control study over a 3-year period in our medical center (2011–2014),
comparing women who had repeated CS without complications and women diagnosed with dehiscence. Data were collected
from medical records and the groups were compared for demographic and obstetrical data.
Results: Dehiscence was identified in 27 women, while 54 women without dehiscence were the control group. Statistically
significant differences were found in the need for augmentation, the number of previous cesarean sections, cesarean section
in the active phase of labor and length of hospitalization.
Discussion: The need for augmentation of labor, CS in the nonactive stage and more than one cesarean section, all increased
the risk of dehiscence. There was no association between dehiscence and scar pain, time elapsed since the previous
cesarean section, the method of wound closure or fever.
Keywords
cesarean scar dehiscence; augmentation of labor; active phase of labor; scar pain; cesarean section
About this articleTitle
Dehiscence of cesarean section scar during pregnancy and delivery — risk factors
Journal
Issue
Article type
Research paper
Pages
539-543
Published online
2020-09-30
Page views
1539
Article views/downloads
1395
DOI
Pubmed
Bibliographic record
Ginekol Pol 2020;91(9):539-543.
Keywords
cesarean scar dehiscence
augmentation of labor
active phase of labor
scar pain
cesarean section
Authors
Marwan Odeh
Rawan Karwani
Oleg Schnaider
Maya Wolf
Jacob Bornstein
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