Single versus double-layer uterine closure at cesarean: impact on lower uterine segment thickness at next&nbsp;pregnancy

Vachon-Marceau, Chantale; Demers, Suzanne; Bujold, Emmanuel; Roberge, Stephanie; Gauthier, Robert J; Pasquier, Jean-Charles; Girard, Mario; Chaillet, Nils; Boulvain, Michel; Jastrow Meyer, Nicole

doi:10.1016/j.ajog.2017.02.042

Scientific article

English

Single versus double-layer uterine closure at cesarean: impact on lower uterine segment thickness at next pregnancy

ContributorsVachon-Marceau, Chantale; Demers, Suzanne; Bujold, Emmanuel; Roberge, Stephanie; Gauthier, Robert J; Pasquier, Jean-Charles; Girard, Mario; Chaillet, Nils; Boulvain, Michel; Jastrow Meyer, Nicole

Published inAmerican Journal of Obstetrics and Gynecology, vol. 217, no. 1, p. 65.e1-65.e5

Publication date2017

Abstract

Uterine rupture is a potential life-threatening complication during a trial of labor after cesarean delivery. Single-layer closure of the uterus at cesarean delivery has been associated with an increased risk of uterine rupture compared with double-layer closure. Lower uterine segment thickness measurement by ultrasound has been used to evaluate the quality of the uterine scar after cesarean delivery and is associated with the risk of uterine rupture.

Keywords

Adult
Cesarean Section/adverse effects/methods
Cesarean Section, Repeat/adverse effects/methods
Cicatrix/prevention & control
Cohort Studies
Female
Gestational Age
Humans
Pregnancy
Prospective Studies
Ultrasonography
Uterine Rupture/pathology
Uterus/diagnostic imaging/pathology
Wound Closure Techniques

Affiliation entities

Faculté de médecine / Section de médecine clinique / Département de pédiatrie, gynécologie et obstétrique

Research groups

Martinez De Tejada Begona (272)

Citation (ISO format)

VACHON-MARCEAU, Chantale et al. Single versus double-layer uterine closure at cesarean: impact on lower uterine segment thickness at next pregnancy. In: American Journal of Obstetrics and Gynecology, 2017, vol. 217, n° 1, p. 65.e1–65.e5. doi: 10.1016/j.ajog.2017.02.042

Article (Published version)

Identifiers

PID : unige:99609
DOI : 10.1016/j.ajog.2017.02.042
PMID : 28263751

Journal ISSN0002-9378

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Single versus double-layer uterine closure at cesarean: impact on lower uterine segment thickness at next pregnancy

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