Abstract
A healthy 27-year old G3P3 was referred for preconception advice 3 years after she underwent open fetal myelomeningocele closure. In her previous pregnancy, she had a posterofundal hysterotomy at 25+2 weeks of gestation for fetal myelomeningocele closure. The uterus was then closed in a single full-thickness layer, incorporating the membranes and decidua, with an additional running locked suture to relieve tension on the scar. She had an uncomplicated pregnancy with a scheduled lower uterine segment transverse cesarean delivery at 36+3 weeks’ gestation. At the time of cesarean delivery, the hysterotomy scar from her fetal surgery appeared intact and was not revised.
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