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Chinese Journal of Obstetric Emergency(Electronic Edition) ›› 2020, Vol. 09 ›› Issue (04): 217-221. doi: 10.3877/cma.j.issn.2095-3259.2020.04.007

Special Issue:

• Expert Commentary • Previous Articles     Next Articles

Assessment of Cesarean Scar Defect and Surveillance during Subsequent Pregnancy

Zhenyan Han1, Hongying Hou1()   

  • Received:2020-05-08 Online:2020-11-18 Published:2020-11-18
  • Contact: Hongying Hou

Abstract:

Cesarean scar defect is the most common long-term complication after cesarean section, and its diagnosis and assessment mainly through transvaginal ultrasound and sonohysterography. The independent risk factors include multiple cesarean sections, lower cesarean incision and retroflexed uterus. During subsequent pregnancy, an early transvaginal ultrasound is necessary to rule out the cesarean scar pregnancy. In the second and third trimester, more attention should be paid to uterine scar condition and placenta adherence, in order to early identify uterine rupture, placenta previa and placenta accreta spectrum disorders.

Key words: Cesarean section, Cicatrix, Uterine rupture, Pregnancy

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