Myometrial marking to improve suturing of the uterine incision at cesarean delivery
Abstract
Cesarean delivery techniques have been refined and made safer over time. However, the uterine incision wound scar may sometimes become thin, and this has been reported to be linked to an increased risk of uterine rupture in subsequent pregnancies.1,2 Additionally, the presence of a niche in the thinning scar has been associated with postoperative symptoms, including abnormal uterine bleeding, a condition now recognized as “cesarean scar disorder.”3 The cause of the scar thinning is incomplete healing of the uterine myometrium wound, some of which may be attributed to poor reapproximation, when the cross-section of the upper (cranial) and lower (caudal) edges of the incision is misaligned.
Fields of Study & Subjects
Maternal and Perinatal Health Interventions
Surgical Sutures and Adhesives
Pelvic floor disorders treatments
Publication details
- Journal / source
- American Journal of Obstetrics and Gynecology
- Publisher
- Elsevier BV
- Volume
- 233
- Issue
- 6
- Pages
- S115–S117
- Publication date
- 1 January 2026
- Language
- EN