Title: Cesarean scar dehiscence as a cause of hemorrhage after second-trimester abortion by dilation and evacuation.

POPLINE Document Number: 194561

Author(s):

Lichtenberg ES
Frederiksen MC

Source citation:

Contraception, 2004 Jul;70(1):61-64.

Abstract:

Women who have had a cesarean section have a risk of uterine rupture when undergoing a second-trimester pregnancy termination. Beyond the first trimester, uterine rupture has been associated with the use of labor-induction agents and, less often, a placenta accreta. Scar dehiscence, a less disruptive form of scar separation, has not been reported with dilation and evacuation abortion. We present two cases of uterine scar dehiscence causing serious bleeding after otherwise uncomplicated dilatation and evacuation procedures. Neither case was associated with uterine contractions, an iatrogenic perforation or placenta accreta. Uterine scar dehiscence, a surreptitious process, can be the cause of hemorrhage after uncomplicated dilatation and evacuation. (author's)

Keywords:

United States
Research Report
Studies
Pregnant Women
Cesarean Section
Uterine Effects
Bleeding
Risk Factors
Pregnancy, First Trimester
Pregnancy, Second Trimester
Abortion
North America
Americas
Developed Countries
Research Methodology
Population Characteristics
Demographic Factors
Population
Obstetrical Surgery
Surgery
Treatment
Uterus
Genitalia, Female
Genitalia
Urogenital System
Physiology
Biology
Signs and Symptoms
Diseases
Pregnancy
Reproduction
Fertility Control, Postconception
Family Planning