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Journal articles on the topic 'Caesarean scar rupture'

Author: Grafiati

Published: 2 June 2025

Last updated: 31 July 2025

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1

Devabhaktuni, Pratibha, Padmaja Allani, and Maheen F. "Changing trends in uterine rupture audit, from the Institute of obstetrics and gynecology, modern government maternity hospital, Osmania medical college." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, no. 9 (2020): 3631. http://dx.doi.org/10.18203/2320-1770.ijrcog20203832.

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Background: Between January 2001 to September 2003, 46,171 deliveries were recorded, the number of caesarean deliveries during this period of two years and nine months were 16,182 (35.04%). Methods: An Audit from the Institute of obstetrics and gynecology, of uterine ruptures.Results: Total 81 cases of uterine rupture were managed at the Institute. Total number of scar ruptures managed were, 48/81 uterine ruptures. Five women had previous classical upper segment caesarean, and in previous lower segment caesarean section (LSCS), there were 43 cases of rupture uterus. In two cases following forc

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2

SULTANA, RAZIA, SAIF-UL ISLAM, and NURJAHAN -. "CAESAREAN SCAR PREGNANCY;." Professional Medical Journal 20, no. 05 (2013): 849–51. http://dx.doi.org/10.29309/tpmj/2013.20.05.1434.

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Caesarean Scar pregnancy (CSP) is a rare form of Ectopic pregnancy where the gestation sac is surrounded bymyometrium and the fibrous tissue of the scar from the previous caesarean section. It is often misdiagnosed as Molar pregnancy orInevitable Abortion and can be associated with massive hemorrhage and pervaginal bleeding leading to uterine rupture. Here we reporteda case of Caesarean scar pregnancy who presented with history of cesarean section and pervaginal bleeding. Dilatation and curettagewas planned but during the operative procedure there was profuse hemorrhage leading to hypovolumic

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3

Felis S. "Uterine rupture." American Journal of Medical and Clinical Research & Reviews 02, no. 11 (2023): 01–07. http://dx.doi.org/10.58372/2835-6276.1103.

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The increasing rate of elective and indicated caesarean sections worldwide has led to new pathologies and management challenges. The number of patients undergoing trial of labor after caesarean section (TOLAC) is also increasing. Three professional societies provide detailed guidelines based on scientific evidence for the management of patients attempting vaginal birth after caesarean section (VBAC). However, they do not provide any recommendations for the actual surgical steps to be followed to minimize the risks of uterine rupture (UR) during TOLAC. Uterine scar condition, intrapartum manage

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International, Journal of Medical Science and Innovative Research (IJMSIR). "Is Midtrimester Scar Rupture Associated With Placental Invasion ?" International Journal of Medical Science and Innovative Research (IJMSIR) 9, no. 5 (2024): 23–26. https://doi.org/10.5281/zenodo.15430211.

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<strong>Abstract</strong> Here, we present a case of caesarean scar rupture in a 35-year-old G3P2L1NND1 (previous 2 LSCS) 23 +5 weeks of gestation in a diagnosed case of placenta previa with focal percreta. She presented to emergency department with preterm labour. During the intraoperative period, we discovered a scar rupture with placenta protruding through it. A classical caesarean section followed by obstetric hysterectomy was done. It is essential to properly assess pregnant mothers who had a previous caesarean scar and chances of placenta accreta spectrum disorders. If the caesarean scar

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Jagtap, Sunil V., Nitin Kshirsagar, and Ramnik Singh. "Cesarean Scar Ectopic Pregnancy." International Journal of Health Sciences and Research 11, no. 5 (2021): 358–61. http://dx.doi.org/10.52403/ijhsr.20210556.

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Caesarean Scar Ectopic Pregnancy (CSEP) is one of the rarest forms of ectopic pregnancy. We present a 30 year female presented with 8 weeks of amenorrhea. Her obstetric history was G3P2D2. Her B HCG levels were >10,000 IU/L. She had history of previous 2 lower uterine segment Caesarean section. She was referred to our hospital in stage of severe hypovolemic shock related to vaginal bleeding. USG findings were suggestive of death of fetus of about 6 weeks 5 days. Gestational -sac at lower uterine segment Caesarean section scar level. Radiological diagnosis was? Scar pregnancy. On histopathol

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Singh, Kamal, Anjali Soni, and Shelly Rana. "Ruptured Ectopic Pregnancy in Caesarean Section Scar: A Case Report." Case Reports in Obstetrics and Gynecology 2012 (2012): 1–3. http://dx.doi.org/10.1155/2012/106892.

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Pregnancy implantation within previous caesarean scar is one of the rarest locations for an ectopic pregnancy. Incidence of caesarean section is increasing worldwide and with more liberal use of transvaginal sonography, more cases of caesarean scar pregnancy are being diagnosed in early pregnancy thus allowing preservation of uterus and fertility. However, a delay in either diagnosis or treatment can lead to uterine rupture, hysterectomy, and significant maternal morbidity. We are reporting a rare case of first trimester caesarean scar pregnancy with viable fetus in the process of rupture, whe

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7

Rudaitis, Vilius, Gailė Maldutytė, Jūratė Brazauskienė, Mykolas Pavlauskas, and Dileta Valančienė. "Caesarean Scar Pregnancy: A Case Report." Acta medica Lituanica 29, no. 1 (2022): 17. http://dx.doi.org/10.15388/amed.2022.29.1.17.

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Caesarean scar pregnancy is a potentially life-threatening gynaecological condition, becoming more common due to steadily increasing rate of caesarean sections worldwide. More than one-third of women presenting with caesarean scar pregnancy are asymptomatic, but over the time if left untreated this condition can lead to the uterine rupture and massive maternal haemorrhage. Therefore it is necessary to diagnose and manage caesarean scar pregnancies properly at the beginning of the first trimester. We present the case of woman with three previous caesarean sections, who was diagnosed with compli

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Sharma, Chirag, and Hina Patel. "Uterine Rupture: A Distressing Catalyst for Severe Postpartum Hemorrhage." Scholars Journal of Medical Case Reports 12, no. 02 (2024): 140–42. http://dx.doi.org/10.36347/sjmcr.2024.v12i02.004.

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Uterine rupture is a disruption of the uterine scar, causing foetal expulsion into the peritoneal cavity. This condition, primarily caused by the separation of uterine scar tissue from previous caesarean surgery, reduces foetal survival and increases maternal morbidity and mortality. A 32-year-old woman with a history of four vaginal deliveries and one caesarean section was diagnosed with uterine rupture, leading to a laparotomy procedure and obstetric hysterectomy. Consistent antenatal care can prevent uterine rupture.

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9

Parveen, Neaz T., Nasima Saheen, N. Munni, Atiar R, and Mohshinuzzaman. "Rupture of a previously scarred uterus along with rupture bladder- an obstetric catastrophe." Journal of Dhaka National Medical College & Hospital 21, no. 2 (2015): 61–64. https://doi.org/10.3329/jdnmch.v21i2.77917.

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Rupture uterus is a deadly obstetric emergency endangering the lives of both mother and fetus. Improved obstetric care reduces the rupture from obstructed labour but there has been increased prevalence of scar rupture, following an increase in incidence of caesarean delivery. Serious maternal bladder injury at the time of uterine rupture remains a risk of attempted vaginal birth after previous caesarean section (VBAC). Here we present a case of rupture uterus & bladder in a 29 years old 4th gravida p2+1 female presenting at East West Medical College (EWMC) hospital, Dhaka with 39 weeks pre

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10

Saha, Shubhashis, Anuja Abraham, Preethi Raja Navaneethan, and Kavitha Abraham. "Placenta percreta presenting as uterine rupture following previous B-Lynch suture." BMJ Case Reports 14, no. 10 (2021): e245593. http://dx.doi.org/10.1136/bcr-2021-245593.

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Placenta accreta spectrum disorder varies from minimally adherent placenta to deeply invasive placenta. Placenta percreta is a rare cause for uterine rupture and the incidence of morbidly adherent placenta is on the rise due to increase in the rates of caesarean section. We report a case of a 32-year-old, G2P1L1 who presented to us at 27 weeks in a state of haemodynamic shock with intrauterine fetal death. She had a history of prior caesarean section complicated by postpartum haemorrhage requiring B-Lynch suturing. With an initial diagnosis of caesarean scar rupture, she underwent an emergency

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Gupta, Pratiksha, Anju Huria, Dilpreet Kaur, and Reeti Mehra. "Caesarian Scar Pregnancy - A Diagnostic Dilemma." Journal of Nepal Medical Association 54, no. 202 (2016): 88–90. http://dx.doi.org/10.31729/jnma.2826.

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Caesarean scar pregnancy is one of the rarest forms of ectopic pregnancy. Transvaginal ultrasound and color flow Doppler provides a high diagnostic accuracy. A delay in diagnosis and treatment can lead to uterine rupture, major hemorrhage, hysterectomy and serious maternal morbidity and mortality. Early diagnosis can offer treatment options of avoiding uterine rupture and hemorrhage, thus preserving the uterus and future fertility. Primary health care provider should know about this rare entity, because if diagnosed timely, and referral to specialized centre is done without delay will definite

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12

Titigah, A. B., A. M. S. Charadan, S. K. Gumanga, K. Mumuni, and N. A. Akanbasiam. "Caesarean Scar Pregnancy: A Maternal Near- Miss In The Sandema District Hospital, Ghana." Postgraduate Medical Journal of Ghana 9, no. 2 (2022): 130–34. http://dx.doi.org/10.60014/pmjg.v9i2.240.

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Introduction: An ectopic pregnancy located in a caesarean scar could have more catastrophic sequelae due to abnormal placentation and early invasion of the myometrium. It has a high possibility of Placenta previa and antenatal uterine rupture as the pregnancyprogresses with gestational age. It is very high risk for severe maternal morbidity and associated high maternal mortality.The case: We presented a case reporting a few weeks after missing her period to the Sandema District Hospital with bleeding per vaginum and a positive urine pregnancy test. The initial diagnosis was a threatened miscar

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13

S., Siwach, Lakra P., Sangwan V., Shivani, Kansal R., and Mahendru R. "To study the outcome of previous one cesarean pregnancies in a rural tertiary center of Haryana, India." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 11 (2017): 5008. http://dx.doi.org/10.18203/2320-1770.ijrcog20175017.

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Background: Rising rates of caesarean section is a matter of great concern and TOLAC is an attractive alternative. Analysing outcome of previous one caesarean pregnancies will provide an insight for reducing the caesarean rates and formulating protocols and policies for TOLAC.Methods: A retrospective study of patients of previous one caesarean pregnancy was done from February 2015 to January 2016 and 3 groups were made, ERCS group, failed TOLAC group and successful TOLAC group. The rates of elective repeat caesarean, failed TOLAC, successful TOLAC, maternal complications, neonatal morbidity an

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Virmani, Smritee, and Pushpa Kaul. "Management of caesarean scar ectopic pregnancy: a case report." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, no. 6 (2020): 2646. http://dx.doi.org/10.18203/2320-1770.ijrcog20202368.

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Caesarean scar ectopic involves an abnormal implantation of the embryo within the myometrium of previous caesarean scar. It is a rare and serious entity involving maternal complication like abnormal placentation, hemorrhage or death due to uterine rupture. Authors present a case report of 32 years old female diagnosed as a case of caesarean scar ectopic pregnancy on TVS and MRI and managed conservatively by USG guided D and C.

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Bhatia, Pooja, Radhika Gupta, Manjeet Kaur, Dilpreet K. Pandher, Rimpy Tandon, and Poonam Goel. "A rare case of ruptured caesarean scar pregnancy." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 12, no. 4 (2023): 1158–61. http://dx.doi.org/10.18203/2320-1770.ijrcog20230833.

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Caesarean scar pregnancy (CSP) is a rare form of ectopic pregnancy. The incidence is approximately 1:2000 pregnancies and has potentially life-threatening complications. Ours is a rare case of scar ectopic pregnancy who had taken medical termination of pregnancy (MTP) kit while being unaware of her pregnancy location and presented with uterine rupture and hemoperitoneum. A 24-year-old female, P2L2A1, with previous two caesarean section (CS), presented with the complaint of bleeding per vaginum with acute pain abdomen and history of MTP kit intake at 7 weeks’ period of gestation (POG). She rece

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16

Devi, T. Ramani, T. Sweta, and C. Archana Devi. "Caesarean scar ectopic pregnancy." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 5 (2018): 2038. http://dx.doi.org/10.18203/2320-1770.ijrcog20181952.

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Ectopic pregnancy is a common cause of mortality and morbidity among the women of reproductive age group. Tubal pregnancy is the commonest. It can occur in cervix, ovaries, previous caesarean scar, interstitial portion of the tube and abdominal cavity. Here we report a case of caesarean scar ectopic pregnancy which was managed conservatively. 31 yrs old gravid 3 previous 1 LSCS and 1 tubal ectopic come for antenatal consultation at 35 days of gestation. UPT was Positive. USG showed no evidence of intra uterine sac. Repeat scan after 10 days showed a gestational sac at the lower uterine segment

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Kumar, Ajay, Anuj Singh, and V. B. Tripathi. "Previous caesarean scar rupture: mortality averted a case report." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, no. 11 (2020): 4719. http://dx.doi.org/10.18203/2320-1770.ijrcog20204842.

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Uterine rupture at the site of a previous cesarean section scar is an uncommon but catastrophic complication of pregnancy by associated with significant foetal and maternal mortality and morbidity. A 31-year old woman, G6P3A2L1 with previous lower segment cesarian section (LSCS), booked case was admitted at 37 week of gestation with complaint of leaking per vaginal (P/V) in our tertiary care centre. Patient had spontaneous labor pain, which subsided after few contractions and sustained hemorrhagic shock with utero placental insufficiency due to previous LSCS scar rupture. Due diligence and exp

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18

DUMITRASCU, Mihai-Cristian, Adina-Elena NENCIU, Catalin-George NENCIU, et al. "Multidisciplinary Healthcare Strategies in Pre-Labor Uterine Rupture after Minimal Invasive Procedures." Medicina Moderna - Modern Medicine 30, no. 1 (2023): 45–52. http://dx.doi.org/10.31689/rmm.2023.30.1.45.

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Uterine rupture is a significant maternal and fetal morbidity and mortality factor. It is defined as the complete cleaving of the three uterine layers. The pregnancy distention leads to alteration of the uterine wall fibers, especially in the low resistance points like surgical scars. World Health Organization realized an extensive systematic review to determine the prevalence of uterine rupture. A lower prevalence was seen in developed countries and higher rates for least developed countries. The incidence of uterine rupture in women with caesarean section is estimated to be 1% and without ca

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Vaishnavi, Ponnam, Ponnam Chandramathi, E. Ramadevi, and Puppala Vinayaka Vishnu Vardhan Dr. "A Birth in a Scar: A Case Report on Caesarean Scar Pregnancy and its Surgical Management." International Journal of Pharmaceutical and Clinical Research 13, no. 6 (2021): 599–603. https://doi.org/10.5281/zenodo.14224494.

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Caesarean scar pregnancy is a rare complication. There is a increase in its incidence parallel to the increase in the incidence of primary caesarean section rate. Symptoms include pelvic pain, vaginal bleeding and many are asymptomatic. Early diagnosis is the main stay. Choice of investigation is Ultrasound. MRI will confirm the diagnosis. Treatment depends on the case presentation. Caesarean scar pregnancy may result in serious life-threatening complications, unless managed promptly.      

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Szkodziak, Piotr, Anna Stępniak, Piotr Czuczwar, Filip Szkodziak, Tomasz Paszkowski, and Sławomir Woźniak. "Is it necessary to correct a caesarean scar defect before a subsequent pregnancy? A report of three cases." Journal of International Medical Research 47, no. 5 (2019): 2248–55. http://dx.doi.org/10.1177/0300060519835068.

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Rates of caesarean section have increased over recent years and so too have associated complications, one of which is a caesarean scar defect (CSD). The defect may cause gynaecological symptoms, such as menometrorrhagia, infertility, chronic abdominal/pelvic pain or it may be asymptomatic. The presence of CSD may lead to obstetrical sequalae such as preterm delivery, uterine rupture, caesarean scar pregnancy or abnormal placenta implantation. Three cases of CSD are described here. In one case, surgical correction of the CSD was performed before a subsequent pregnancy with an uncomplicated obst

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Mahendran, S. M., P. K. Jothilakshmi, and M. R. Steel. "Spontaneous rupture of caesarean scar at 16 weeks." Journal of Obstetrics and Gynaecology 26, no. 4 (2006): 377–78. http://dx.doi.org/10.1080/01443610600618697.

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Ismail, S. I. M. F., and P. G. Toon. "First trimester rupture of previous caesarean section scar." Journal of Obstetrics and Gynaecology 27, no. 2 (2007): 202–4. http://dx.doi.org/10.1080/01443610601138075.

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Bhatu, Jaydeep, Nikhil A. Anand, and Ankita B. Chaudhari. "A rare case of lower segment scar pregnancy." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, no. 6 (2020): 2610. http://dx.doi.org/10.18203/2320-1770.ijrcog20202358.

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Caesarean scar ectopic is one of the rarest of all ectopic pregnancies. The incidence of caesarean scar ectopic has increased due to increase in number of caesarean deliveries. A 31-year-old woman (G4P3003) presented from an outside facility to Sola Civil Hospital with vaginal bleeding and discharge with no abdominal pain or any discomfort. The gestational sac was located in an anterior position toward the anterior lower uterine segment at the level of prior caesarean scar with little visible myometrium noted anterior to the gestational sac in the lower uterine segment and Tissue was sent for

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Sultana, Jobaida, Farhana Dewan, Rezaul Karim Kazal, Md Manir Hossain Khan, and Mahmuda Sultana. "Caesarean Scar Ectopic Pregnancy Treated with local Methotrexate: A Case Report." Bangladesh Journal of Obstetrics & Gynaecology 30, no. 1 (2016): 43–48. http://dx.doi.org/10.3329/bjog.v30i1.30507.

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Ectopic pregnancy in a caesarean scar is the rarest form of ectopic pregnancy and probably the most dangerous one because of the risk of uterine rupture and massive hemorrhage. Since the advent of endovaginal ultrasonography, ectopic pregnancy in a caesarean scar can be diagnosed and distinguished from cervical pregnancy early in pregnancy. Here we describe a case of ectopic pregnancy in a caesarean scar in which the diagnosis was done at 6 weeks of pregnancy by transvaginal sonography and confirmed by MRI. The case was successfully managed by ultrasonography guided local injection of methotre

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Ginjupalli, Anusha, Joshi Suyajna D., Nagarathna Suyajna Joshi, and Jayaprakash Patil. "Minimally invasive procedure for repair of uterine isthmocele, a rare cause of infertility: a case report." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 10, no. 6 (2021): 2511. http://dx.doi.org/10.18203/2320-1770.ijrcog20212206.

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One of the known complications after caesarean delivery is uterine caesarean scar defect or isthmocele. Isthmocele is usually asymptomatic or may cause gynecological problems, such as menometrorrhagia, infertility, chronic abdominal/pelvic pain. Isthmocele may cause obstetrical sequalae like preterm delivery, uterine rupture, caesarean scar pregnancy or abnormal placental implantation. In the present case report, asymptomatic patient underwent laparoscopic surgery for isthmocele repair after shared decision-making and medical treatment have been evaluated. We suggested that isthmoplasty should

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Navaratnam, K., P. Ulaganathan, M. A. Akhtar, S. D. Sharma, and M. G. Davies. "Posterior Uterine Rupture Causing Fetal Expulsion into the Abdominal Cavity: A Rare Case of Neonatal Survival." Case Reports in Obstetrics and Gynecology 2011 (2011): 1–3. http://dx.doi.org/10.1155/2011/426127.

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Introduction. Uterine rupture is a potentially catastrophic complication of vaginal birth after caesarean section. We describe the sixth case of posterior uterine rupture, with intact lower segment scar, and the first neonatal survival after expulsion into the abdominal cavity with posterior rupture.Case Presentation. A multiparous woman underwent prostaglandin induction of labour for postmaturity, after one previous caesarean section. Emergency caesarean section for bradycardia revealed a complete posterior uterine rupture, with fetal and placental expulsion. Upon delivery, the baby required

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Lynch, J. C., and J. P. Pardy. "Uterine Rupture and Scar Dehiscence. A Five-Year Survey." Anaesthesia and Intensive Care 24, no. 6 (1996): 699–704. http://dx.doi.org/10.1177/0310057x9602400612.

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A review of the medical records from two public hospitals in Sydney was undertaken to determine the incidence of this uncommon complication. Twenty-seven cases of uterine rupture were reported out of 31,115 deliveries with an incidence of 0.086% (versus 0.05% in the current literature). The incidence associated with previous caesarean section was 0.038% (versus 0.8% in the current literature). Predisposing and associated factors in this review were similar to those reported by others. There was no maternal mortality in our series but the fetal mortality rate was 5 out of 27 cases. Uterine rupt

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Dumitrașcu, Mihai Cristian, Răzvan Fodoroiu, George Cătălin Nenciu, et al. "UTERINE RUPTURE DURING PREGNANCY – CASE REPORT." Romanian Journal of Emergency Surgery 2, no. 2 (2021): 72–76. http://dx.doi.org/10.33695/rojes.v2i2.32.

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Uterine rupture is a life-threatening complication in pregnancy with no specific signs and symptoms, that requires fast diagnosis and surgical treatment. The main risk factors for uterine rupture are previous caesarean section deliveries and myomectomies, which can lead to improper uterine wall healing. We report a case of a 37-year-old secundigravida in 29 weeks of pregnancy, with prior caesarian delivery that was admitted in our ward for altered general status and abdominal pain. The patient underwent emergency laparotomy during which we found a massive 3500ml hemoperitoneum, 1000 g dead fet

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Arora, Ira, Swati Agrawal, Ratna Biswas, Ashita Aggarwal, Harbani Soni, and Adeeba Saman. "Conservative management of Caesarean scar site ectopic pregnancy with morbidly adherent placenta: a challenging scenario." MOJ Women s Health 12, no. 3 (2023): 67–68. http://dx.doi.org/10.15406/mojwh.2023.12.00320.

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Pregnancy that is implanted on or in a scar from a past caesarean birth is known as a caesarean scar pregnancy (CSP). It may result in significant rates of morbidity such as haemorrhage, uterine rupture, and placenta accreta spectrum [PAS] as well as maternal mortality. CSP may be managed medically or by surgical intervention depending on the condition of the patient. We present a rare case of an advanced CSP which was successfully managed with medical management with intra-sac and systemic methotrexate.

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Zabin Naz, Mah, Galib Mohammad Shawon, Marufa Akter, Shubham Kumar, and Nuha Khurshid Salati. "A Subtle and Delayed Presentation of Scar Rupture after VBAC: A Case Report." East West Medical College Journal 13, no. 2 (2025): 149–51. https://doi.org/10.3329/ewmcj.v13i2.79385.

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Uterine scar dehiscence is the opening of the uterine incision. It is potentially a life threatening complication. Though it is a rare complication of caesarean section but now-a-days it is increasing as caesarean delivery is also increasing. It is more common following vaginal birth after caesarean (VBAC). It leads to postpartum hemorrhage, pelvic hematoma, pelvic abscess, endomyometritis, generalized and localized peritonitis and sepsis. Here we report a case of a 25 year old female who presents with abdominal distention with pyrexia following VBAC. Investigation revealed incomplete uterine

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Dahal, Jyoti, and Rachana Saha. "Scar Rupture in Early Puerperium: A Case Report." Journal of Nepal Medical Association 60, no. 249 (2022): 491–93. http://dx.doi.org/10.31729/jnma.7346.

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Uterine scar dehiscence or rupture is a rare but potentially life-threatening complication of caesarean delivery. It is the opening of the uterine incision line that can lead to postpartum haemorrhage, pelvic hematoma, pelvic abscess, endomyometritis, generalised or localised peritonitis and sepsis. Here we report a case of a 25 years old female who presented with puerperal pyrexia. Investigations revealed uterine scar rupture with a uterovesical collection. The case was managed conservatively with intravenous antibiotics, an intracervical Foley’s catheter and a gonadotropin-releasing hormone

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Saha, Joysree, and Priyanka Podder. "Scar Ectopic: Diagnostic and Management Challenge." Bangladesh Journal of Obstetrics & Gynaecology 37, no. 2 (2023): 154–56. http://dx.doi.org/10.3329/bjog.v37i2.69154.

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Scar ectopic pregnancy is the rarest form of ectopic pregnancy and has been increasingly diagnosed all over the world. Usually when a blastocyst implants on the fibrous tissue of the previous Caesarean scar is called scar ectopic. This type of abnormal implantation of embryo can occur following hysterotomy, dilatation and curettage ,abnormal placentation surgery on uterus like myomectomy ,hysteroscopy and manual removal of placenta. The incidence is increased due to increase in number of Caesarean deliveries. Trans vaginal Sonography helps in early diagnosis. Early diagnosis leads to prompt ma

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Kharode, Amruta, Kamlesh Chaudhari, and Saunitra Inamdar. "Caesarean scar-unusual site of ectopic pregnancy: a rare case report." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 11, no. 6 (2022): 1789. http://dx.doi.org/10.18203/2320-1770.ijrcog20221461.

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Scar ectopic pregnancy is the rarest type of ectopic pregnancy; however, it is becoming more common around the world. It is a life-threatening condition caused by abnormal embryo implantation in the myometrium and fibrous tissue of the prior scar after a caesarean section, hysterotomy, myomectomy, or metroplasty. With a better understanding of the disease and an increased rate of caesarean section, there is a significant increase in this condition. Early and correct diagnosis, combined with prompt treatment, can help to avoid pregnancy problems including haemorrhage and uterine rupture, as wel

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Ying An, Tan, Kavitha Nagandla, Krishna Kumar, and Akshatha Daniel. "Caesarean section scar pregnancy: a case series." International Surgery Journal 11, no. 4 (2024): 612–16. http://dx.doi.org/10.18203/2349-2902.isj20240752.

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Cesarean scar pregnancy is a rare type of ectopic pregnancy but potentially life threatening. The incidence of this ectopic pregnancy continues to rise due to global increase in cesarean sections rates as well as the diagnosis with wide use of transvaginal ultrasound. Delay or wrong diagnosis may result to uterine rupture and life-threatening bleeding with potential maternal morbidity and mortality. Endo-vaginal ultrasound has a reported sensitivity of 85-90% for detection. In difficult cases, magnetic resonance imaging is often useful as second line imaging. Treatment may be ranging from cons

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Kamal, Samarina, and Shashibala Singh. "A study of cases of rupture uterus in a tertiary medical college of Jharkhand, India." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 6 (2017): 2553. http://dx.doi.org/10.18203/2320-1770.ijrcog20172350.

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Background: Uterine rupture is a grave condition which is almost fatal for fetus. The most common risk factor for the uterine rupture is previous uterine surgery. Other major factors are obstructed labor, multiparity, use of uterotonic drugs, placenta percreta and rarely intrauterine manipulations such as internal podalic version and breech extraction.Methods: This study was conducted over a period from March 2014 to September 2015, in the Department of Gynecology and Obstetrics, RIMS Ranchi, Jharkhand. All cases of rupture uterus, who were either admitted with or who developed this complicati

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Marwah, Sheeba, Avinika Agarwal, Rashi Saini, and Ashwani Balayan. "Pregnancy over caesarean scar site-account of four unusual cases in the form of a case series." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 13, no. 8 (2024): 2119–24. http://dx.doi.org/10.18203/2320-1770.ijrcog20242081.

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Caesarean scar ectopic pregnancy (CSEP) is an ectopic pregnancy located in the lower uterine segment. Although it is one of the rarest types of ectopic pregnancy, the worldwide increasing rate of caesarean sections has made it important for young gynaecologists to be aware of the challenges posed by CSEP and its successful management. Doppler ultrasounds play a major role in its diagnosis. Early diagnosis is the key to a good outcome as untimely delay can lead to life-threatening haemorrhage, uterine rupture and irreversible loss of fertility. We present a case series of 4 patients of caesarea

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Ganapathi, Trupthi, and Hemangi K. Chaudhari. "Ultrasonographic measurement of uterine lower segment scar thickness in cases of previous one caesarean section and obstetric outcome." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 11 (2018): 4454. http://dx.doi.org/10.18203/2320-1770.ijrcog20184488.

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Background: Vaginal birth after caesarean section (VBAC) has become an integral part of modern obstetrics with more than 1lakh VBACs achieved each year nationwide. Several studies have reported perinatal risks associated with failed trial of labour and uterine rupture in women attempting VBAC, due to concerns about these complications, the rate of VBAC deliveries has continued to fall in developed countries, with an inverse increase in Caesarean Sections (CS). To better assess the risk of uterine rupture, many authors have proposed sonographic measurement of scar or lower uterine segment (LUS)

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Chandra, Saheli, Anjan Dasgupta, Pradip Kumar Saha, Kamal Kumar Dash, Abirbhab Pal, and Partha Ghosh. "Pregnancy Outcome in Women with One Previous Caesarean Delivery - A Prospective Longitudinal Study in a Peripheral Medical College of West Bengal." Journal of Evidence Based Medicine and Healthcare 8, no. 21 (2021): 1608–13. http://dx.doi.org/10.18410/jebmh/2021/304.

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BACKGROUND Pregnancy with one prior Caesarean section (CS) constitutes a high-risk group with associated medical and legal implications. The dictum ‘once a Caesarean always a Caesarean’ has now judiciously been replaced with ‘once a Caesarean, trial of labour after selection’ because low transverse uterine incision has much lesser chance of scar rupture. Though vaginal birth after Caesarean (VBAC) or trial of scar (TOS) brings a significant change in modern obstetric practice in terms of lower maternal and perinatal morbidities, apprehension of accidental scar rupture during trial of labour wi

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Elango, Shanthi K., K. Nevetha, and Aruna . "Successful conservative treatment of a caesarean scar twin pregnancy with systemically administered methotrexate and subsequent uterine artery embolization: a rare case report." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 11, no. 3 (2022): 979. http://dx.doi.org/10.18203/2320-1770.ijrcog20220593.

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Caesarean scar pregnancy is a very rare form of ectopic pregnancy. It complicates approximately 1 in 2200 pregnancies. However, it is becoming increasingly more frequent with the increasing number of caesarean sections performed each year. The recommended approach to treatment is therapeutic termination of pregnancy at the time of recognition. In this article, we present a case of caesarean scar pregnancy managed expectantly with Methotrexate and uterine Artery Embolization. We reported a case of 30 years old female, gravida 5, para1, live 1, abortion 3 with a previous history of caesarean sec

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Benghanem, Lounas, Bouzid Addad, Mounir Bisker, et al. "Pregnancy Following Caesarean Section, Managed by Anterior Colpotomy." European Journal of Medical and Health Research 2, no. 1 (2024): 155–58. http://dx.doi.org/10.59324/ejmhr.2024.2(1).26.

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Caesarean section scar pregnancy is a rare form of ectopic pregnancy which is life-threatening for the mother due to uterine rupture at an early stage of pregnancy and haemorrhage. It is a pathology whose frequency is increasing due to the evolution of the caesarean section rate. We report the case of an isthmoceles pregnancy diagnosed at 9 weeks of amenorrhoea during the first trimester ultrasound.

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Lounas, Benghanem, Addad Bouzid, Bisker Mounir, et al. "Pregnancy Following Caesarean Section, Managed by Anterior Colpotomy." European Journal of Medical and Health Research 2, no. 1 (2024): 155–58. https://doi.org/10.59324/ejmhr.2024.2(1).26.

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Caesarean section scar pregnancy is a rare form of ectopic pregnancy which is life-threatening for the mother due to uterine rupture at an early stage of pregnancy and haemorrhage. It is a pathology whose frequency is increasing due to the evolution of the caesarean section rate. We report the case of an isthmoceles pregnancy diagnosed at 9 weeks of amenorrhoea during the first trimester ultrasound.

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., Zeenat, and Quratulain Shahzad. "Impact of Short Pregnancy Interval on Feto-Maternal Outcome in Women with Previous caesarean section." Pakistan Journal of Medical and Health Sciences 16, no. 7 (2022): 178–80. http://dx.doi.org/10.53350/pjmhs22167178.

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Background: Short inter-pregnancy interval has been associated with an increase risk of adverse pregnancy outcomes after caesarean section. Method: A descriptive study, carried out in tertiary care hospital on total 63 numbers of women for a duration of six months with short inter-pregnancy interval and history of previous caesarean section. Results: Among women with history of previous LSCS (n=63), mean age 26.5±4.6 years, gestational age 37.8±2.2 weeks, recommended IPI (>18 months) was observed only in 15.9% women. Most common indications for current C-section were irregular pain (20.6%),

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Rani Ghosh, Suchita, Mita Das, and Abanti Ghosh. "Clinical study on the relationship of scar tenderness with scar integrity at repeat caesarean section." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 12, no. 4 (2023): 918–23. http://dx.doi.org/10.18203/2320-1770.ijrcog20230787.

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Background: Caesarean section is an operative process whereby the fetuses after the end of 28th weeks are delivered through an incision on the abdominal and uterine wall. This excludes delivery through an abdominal incision where the fetus lying free in the abdominal cavity following uterine rupture or in secondary abdominal pregnancy. The first operation carried out on a patient is referred to as an primary caesarean section. When the operation is carried out in subsequent pregnancies, it is referred to as repeat caesarean section. Caesarean section is used in cases where vaginal delivery is

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Sultana, Razia, Saiful Islam, and Nurjahan. "Caesarean Scar Pregnancy - A Rare Case Report." Bangladesh Journal of Obstetrics & Gynaecology 27, no. 2 (2016): 83–86. http://dx.doi.org/10.3329/bjog.v27i2.29924.

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Objective:The aim is to publish the case report of the rarely occurring and life threatening ectopic pregnancy developing in a Caesarean section scar causing uterine rupture.Methods and Results: This patient was diagnosed initially as a case of incomplete abortion. Other possible diagnoses were molar pregnancy, mass in the cervix. She was admitted in hospital for evacuation and curettage. During the procedure she developed severe pervaginal bleeding leading to hypovolumic shock. So decision was taken for emergency laparotomy. After opening the abdomen rupture was found in the lower uterine seg

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Odgers, Harrison L., Rebecca A. M. Taylor, Jananie Balendran, Christopher Benness, and Joanne Ludlow. "Rupture of a caesarean scar ectopic pregnancy: A case report." Case Reports in Women's Health 22 (April 2019): e00120. http://dx.doi.org/10.1016/j.crwh.2019.e00120.

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Mohammed, B. A., A. Oyaramade, A. O. Ogunlaja, and I. P. Ogunlaja. "Uterine rupture; An obstetric tragedy still with us. A six year review of cases in a specialist hospital, NorthWest Nigeria." Research Journal of Health Sciences 11, no. 1 (2023): 66–76. http://dx.doi.org/10.4314/rejhs.v11i1.7.

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Background: Uterine rupture is a major cause of perinatal and maternal morbidity and mortality, it usually has a devastating outcome if not promptly attended to. The study determined the trends, risk factors, feto-maternal outcomes following uterine rupture as seen at ASYBSH. Method: The study was a retrospective review of cases of uterine rupture managed at the ASYBSH between March 2015 and February 2021. Records of the theatre and labour wards were searched and the folders of patients with uterine rupture were retrieved. Relevant information such as socio- demographic variables, bookin

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Safiullin, R. I., I. I. Musin, and A. R. Molokanova. "“Slow” Cesarean Section by Inconsistent Corporal Scar (Clinical Case)." Creative surgery and oncology 8, no. 2 (2018): 75–80. http://dx.doi.org/10.24060/2076-3093-2018-8-2-75-80.

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Introduction. Increasing the initial number of caesarean delivery operations involves certain risks when planning and carrying subsequent pregnancies. Despite the trend towards operative childbirth being gradually being replaced by natural, the frequency of recurrent caesarean is higher than the prevailing rate due to scar inconsistency and the presence of a “classic” (corporal) scar on the uterus. The use of corporal access to date is gradually being replaced by less traumatic access. The operation of “slow” caesarean section is considered as an alternative approach to surgical delivery.Purpo

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Akhtar, Nahreen, Tabassum Parveen, Syeda Sayeeda, and Firoza Begum. "Rupture of primigravid uterus and recurrent rupture." Bangabandhu Sheikh Mujib Medical University Journal 6, no. 2 (2016): 168. http://dx.doi.org/10.3329/bsmmuj.v6i2.29136.

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Uterine rupture is a deadly obstetrical emergency endangering the life of both mother and fetus. In Bangladesh, majority of deliveries arc attended by unskilled traditional birth attendant and maternal mortality is still quite high. It is rare Ln developed country but unfortunately it is common in a developing country like Bangladesh. We report a case history of a patient age 32yrs from Daudkandi, Comilla admitted with H/0 previous two rupture uterus and repair with no living issue. We did caesarean section at her 31+ weeks of pregnancy when she developed Jabour pain. A baby of 1.4 kg was deli

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Jain, Sheela. "Uterine Rupture - Risk Factors and Pregnancy Outcome in Bundelkhand Region." Journal of Evolution of Medical and Dental Sciences 10, no. 27 (2021): 1961–65. http://dx.doi.org/10.14260/jemds/2021/403.

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BACKGROUND Uterine rupture is defined as the tearing of the muscular wall of the uterus during pregnancy or labour.1 Often it occurs from the tearing of previous caesarean scar during labour.2 The other known risk factors for uterine rupture include, maternal age, height, body mass index (BMI), education, birth weight, gestational age, induction of labour, instrumental vaginal delivery, interpregnancy interval, congenital uterine anomaly, grand multiparity, previous uterine surgery, fetal macrosomia, fetal malposition, obstructed labour, uterine instrumentation, attempted forceps delivery, ext

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Workie, Amare, Yemmiamrew Getachew, Kibir Temesgen, and Prem Kumar. "Determinants of uterine rupture in Dessie Referral Hospital, North East Ethiopia, 2016: case control design." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 5 (2018): 1712. http://dx.doi.org/10.18203/2320-1770.ijrcog20181900.

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Background: Uterine rupture remains a major obstetric problem particularly in less developed countries. The aim of this study was to identify determinants of uterine rupture among mothers getting delivery services in Dessie Referral Hospital from January 2016 to June 2016, North East Ethiopia.Methods: A prospective unmatched case control study was conducted recruiting 42 mothers with uterine rupture as case group and 168 for control group. Pretested, structured questionnaire was used to collect data.Results: Descriptive statistics and Logistic regression models were utilized considering 95% co

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