Accidental uterine extensions in cesarean deliveries – outcome of subsequent pregnancy
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Shlomi Toussia-Cohen
,
Aviran Ohayon
Abstract
Objectives
To explore the obstetric, maternal and neonatal outcome in the subsequent pregnancy after a pregnancy with an accidental uterine extension (AUE) during cesarean delivery (CD), as well as the relationship between the different types of AUE (inferior, lateral and superior).
Methods
A retrospective cohort study of all CD with AUE in a tertiary medical center between 01/2011–01/2022. Women with a prior CD with AUE were compared to a 1:3 ratio matched control group of women with a prior CD without AUE. All AUE were defined in their direction, size and mode of suturing. CD with deliberate uterine extensions were excluded. We evaluated obstetric, maternal and neonatal outcomes in the subsequent pregnancy after a pregnancy with AUE during CD.
Results
Comparing women with a prior CD with AUE (n=177) to the matched control group of women with a prior CD without AUE (n=528), we found no significant differences in proportions of uterine rupture or any other major complication or adverse outcome between the groups. There were no significant differences in the outcomes of the subsequent pregnancy in relation to the characteristics of the AUE (direction, size and mode of suturing).
Conclusions
Subsequent pregnancies after AUE are not associated with higher maternal or neonatal adverse outcomes including higher proportions of uterine rupture compared to pregnancies without previous AUE. Different characteristics of the AUE do not impact the outcome.
Acknowledgments
The authors would like to thank Mr. Itamar Toussia-Cohen for creating the original figures attached to this manuscript.
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Research ethics: Institutional Review Board approval (9852-22-SMC) was obtained for the study waiving informed consent. The Institutional Review Board approved the use of patient database retrospectively.
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Informed consent: Not applicable.
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Author contributions: The authors have accepted responsibility for the entire content of this manuscript and approved its submission.
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Competing interests: The authors state no conflict of interest.
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Research funding: None declared.
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Data availability: Not applicable.
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© 2024 Walter de Gruyter GmbH, Berlin/Boston
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Artikel in diesem Heft
- Frontmatter
- Corner of Academy
- The IAPM New York 2024 declaration on professional responsibility and abortion
- Review
- Common foot and ankle disorders in pregnancy: the role of diagnostic ultrasound
- Opinion Paper
- Reproductive genetic carrier screening in pregnancy: improving health outcomes and expanding access
- Original Articles – Obstetrics
- “It feels like you have to choose one or the other”: a qualitative analysis of obstetrician focus groups on periviability counseling
- Expectant management vs. cerclage in cases with prolapsed or visible membranes in the second trimester: is 24 weeks gestation threshold critical?
- Prevention of preterm birth in twin-to-twin transfusion syndrome: a systematic review and network meta-analysis
- Accidental uterine extensions in cesarean deliveries – outcome of subsequent pregnancy
- Effect of acidic vaginal pH on the efficacy of dinoprostone (PGE2) vaginal tablet for labor induction in full term pregnant women: a randomized controlled trial
- Oligohydramnios at term in the high-risk population – how severe is severe?
- Original Articles – Fetus
- Assessment of the fetal thymic-thoracic ratio in pregnant women with intrahepatic cholestasis: a prospective case-control study
- Congenital diaphragmatic hernia treated via fetal endoscopic tracheal occlusion improves outcome in a middle-income country
- Fetal bradyarrhythmias: classification, monitoring and outcomes of 40 cases at a single center
- Deep learning based detection and classification of fetal lip in ultrasound images
- Original Articles – Neonates
- Cytomegalovirus congenital infection: long-term outcomes in a valaciclovir treated population
- Does placental VEGF-A protein expression predict early neurological outcome of neonates from FGR complicated pregnancies?
- Letters to the Editor
- Why do women choose home births: correspondence
- Enhancing safety and outcomes in home births: a detailed response to concerns and recommendations
