Gynecology & Obstetrics
Open Access
ISSN: 2161-0932
ISSN: 2161-0932
Mohammad Othman
Obstetrics and Gynaecology in University of Al-Baha, College of Medicine, Saudi Arabia
Keynote: Gynecol Obstet
Cesarean section uterine scar dehiscence (CSD) is a rare but notable complication of Lower segment cesarean section (LSCS) surgery. Incidence of Uterine scar dehiscence irrespective of cause is around 0.6 % worldwide, but in fact the rate is 0.6% and 3.8%. Ofili-Yebovi et al found 19.4% patients who had undergone cesarean section surgery had a defect in their scars. Uterine rupture is a rare complication of pregnancy potentially leading to severe maternal and fetal morbidity and mortality. Estimated incidence is 5.3 to 0.6 per 10,000 live births. The classical (vertical) scar at the upper part (body) of the uterus is more vulnerable to ruptures and can cause more serious complications both for the mother and her babyBoth can present in multiple ways. The presentation may be silent in many, but may cause symptoms like dysmenorrhea, inter menstrual bleeding, irregular genital bleeding, chronic pelvic pain, dyspareunia and secondary infertility. During labor symptoms would include vaginal bleeding, sharp pain between contractions, abdominal pain or tenderness, recession of the fetal head, bulging under the pubic bone and onset of sharp pain at the site of previous scar. Both can thence occur either immediately after childbirth or some may have presentation after about 2-4 weeks of delivery. Presentation can be with postpartum hemorrhage, endomyometritis and peritonitis. Once peritonitis occurs as a result, sepsis may ensue risking the life of the patient.
M Othman is an assistant Professor of Obstetrics and Gynaecology in University of Al-Baha, College of Medicine, Saudi Arabia. He finished his Bachelor degree in Medicine and Surgery from King Abdulaziz University, Jeddah, Saudi Arabia. He has completed his PhD from University of Liverpool, United Kingdom. He has published three books and more than 52 papers in reputed journals and has been serving as an editor and referee of More than 32 medical publications and databases.
Email: Mothman12399@yahoo.com