uterine dehiscence

Uterine dehiscence is, usually, used to refer to the process of gradual myometrial rupture without a rupture of membranes. However, the term is used synonymously with uterine rupture by some authors. It is often described in the context of C-section scar where it is also termed an incisional dehiscence . Dehiscence can be partial or complete.

Epidemiology

Associations

• bladder flap hematoma : particularly in the context of a C-section.

Clinical presentation

Generally uterine dehiscence is clinically occult and is not associated with any adverse maternal or perinatal outcomes.

Interestingly classical transverse C/S scars are more likely to rupture before labor, whereas lower uterine segment C/S scars (LSCS) tend to rupture after labor.

Treatment and prognosis

In one study it was suggested that preterm delivery and non-progress of labor were independent risk factors for uterine scar dehiscence. By contrast, parity was found to have a protective effect against dehiscence .

Siehe auch:

• Uterusruptur

und weiter:

• uterine perforation