Author/Authors :
Hudic, Igor University Clinical Centre - Clinic for Gynecology and Obstetrics, Bosnia and Herzegovina , Bujold, Emmanuel Université Laval - Faculty of Medicine - Department of Obstetrics and Gynecology Department of Social and Preventive Medicine, Canada , Fatusic, Zlatan University Clinical Centre - Clinic for Gynecology and Obstetrics, Bosnia and Herzegovina , Roberge, Stéphanie Université Laval - Faculty of Medicine - Department of Obstetrics and Gynecology Department of Social and Preventive Medicine, Canada , Mandzic, Amer University Clinical Center - Clinic for Gynecology and Obstetrics, Bosnia and Herzegovina , Fatusic, Jasenko University Clinical Centre - Clinic for Gynecology and Obstetrics, Bosnia and Herzegovina
Abstract :
Objective: To compare the rate of uterine scar disruption after a locked versus an unlocked single-layer closure of the hysterotomy incision at a previous cesarean. Methods: A retrospective cohort study in a population where both locked and unlocked single-layer closure are commonly used. All singleton pregnan-cies at 24 weeks’ gestation or more with a previous single cesarean were included. Rate of uterine scar disruption (complete uterine rupture and uterine scar dehiscence)were compared between women with a previous locked and those with a previous unlocked single-layer closure of the uterus. Results: Out of 388 women included in the study, 272 had a previous unlocked single-layer closure and 116 had a locked single-layer closure. We found no significant difference in the rate of uterine scar disruption between the two groups (5.9% vs 8.6%, p=0.32). Conclusion: Locking a single-layer closure was not associated with an increase rate of uterine scar disrup-tion at the next pregnancy in our retrospective analysis. A randomized trial should be performed. .
