Abstract

birth twice. There were no placental complications and no scar pregnancies. Of the women who had intact scars or small defects in their uterine scar detected by transvaginal ultrasound 2.3% (1/43) suffered uterine dehiscence or uterine rupture in their first delivery after the scan versus 23.1% (3/13) of the women with large defects (P = 0.035). Conclusions: Large defects in the hysterotomy scar after Caesarean detected by transvaginal ultrasound in non-pregnant women increase the risk of uterine rupture or dehiscence in subsequent pregnancy.

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