Postnatal healing of cesarean scar: an ultrasound study
Advanced cervical dilatation and low fetal station at emergency cesarean delivery in labor are independent predictors of cesarean scar location near or within the cervix, and these cervical scars heal less well than scars located higher in the uterus. Even women having a cesarean birth at 8 to 9 cm have a high risk of the scar being close or within the cervix, which is known to increase the risk of subsequent spontaneous preterm birth. Further research is needed into the impact of cesarean scar characteristics on gynecologic symptoms and future pregnancy outcomes and to develop techniques to improve cesarean scar healing.
Authors
- Natalie Greenwold (ORCID: https://orcid.org/0000-0003-1092-9326)
- D. Jurkovic (ORCID: https://orcid.org/0000-0001-6487-5736)
- A. Tetteh
- Anna Louise David (ORCID: https://orcid.org/0000-0002-0199-6140)
- Charlotte Colley (ORCID: https://orcid.org/0000-0003-3052-0341)
- R. Napolitano (ORCID: https://orcid.org/0000-0001-9434-7678)
- Maria Ivan (ORCID: https://orcid.org/0009-0008-4204-661X)
- A. Banerjee (ORCID: https://orcid.org/0000-0002-0456-0828)
- Davide Casagrandi
Institutions
- University College Hospital (GB)
- University College London Hospitals NHS Foundation Trust (GB)
- National Institute for Health and Care Research (GB)
- University College London (GB)
Publication Details
- Journal
- American Journal of Obstetrics and Gynecology
- Published
- 2025-09-12
- DOI
- https://doi.org/10.1016/j.ajog.2025.09.013
- Citations
- 2
- Primary Topic
- Maternal and Perinatal Health Interventions
- Type
- article
- Field-Weighted Citation Impact
- 4.11