CAUSES OF INEFFICIENT UTERINE SCARRING AFTER CAESAREAN SECTION AND METHODS OF ITS PREVENTION

Abstract

Increased interest of investigators to the problem of post-caesarean uterine scar is to be explained by changes of obstetric strategies towards significant rise of surgical delivery rates. At present, every fourth pregnant woman in the world delivers by caesarean section. Presence of a uterine scar is often seen as an “automatic” indication to repeat caesarean section, which is associated with 3 to 4-fold higher rate of complications compared to natural deliveries. It is because of this fact that the problem of quality of reparation of post-caesarean uterine scars is becoming more and more of importance. The review presents data from literature on issues of delivery after a caesarean section. The analysis has shown ambiguity and deficiency of evidence on inefficient uterine scarring after caesarean section that necessitates further research in this field.

Keywords

• caesarean section
• uterine scar
• inefficient uterine scar
• risk factors
• uterine scar reparation