Cervical Incompetence Occurring after Caesarean Section: A Case Report

Smith, David H.G.; Kirsop, Rodney

doi:10.1111/j.1447-0756.1991.tb00264.x

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…Previous investigators have proposed an association between a prolonged 2nd stage of labour or caesarean delivery and an increased future risk of PTB. [15][16][17] It is plausible that either an inadvertently low-positioned or caudally extended caesarean hysterotomy could damage the cervix and increase the risk for cervical insufficiency and PTB in subsequent pregnancy. When a caesarean is performed during the 2nd stage of labour, the rate of caudal hysterotomy extension is higher than when a caesarean is performed during the 1st stage.…”

Section: Introductionmentioning

confidence: 99%

Risk factors associated with preterm birth after a prior term delivery

Wong

Wilkes

Korgenski

et al. 2015

BJOG

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Objective The objective of this study was to assess for the presence of newly acquired preterm birth (PTB) risk factors among primiparous women with no prior history of PTB. Design Case-control study. Setting Deliveries occurring within a large healthcare system from 2002–2012 Population Women with their first two consecutive pregnancies carried to ≥20 0/7 weeks gestation. Methods Those delivering the first pregnancy at term and the second preterm ≥20 0/7 and < 37 0/7 weeks (term-preterm cases) were compared to women with a term birth in their first two pregnancies (term-term controls). Social factors with the potential to change between the first and second pregnancies and intrapartum labour characteristics in the first pregnancy were compared between cases and controls. Main outcome measures Risk factors for term-preterm sequence. Results 38215 women met inclusion criteria. 1,353 (3.8%) were term-preterm cases. Cases and controls were similar with regards to race/ethnicity and maternal age at the time of the first and second deliveries. Cases delivered their second pregnancy approximately three weeks earlier (35.7 vs. 39.1, p<0.001). In multivariable models accounting for known PTB risk factors, women with a caesarean delivery in the first pregnancy (aOR=2.20; 95% CI 1.57–3.08), new tobacco use (aOR=2.33; 95% CI, 1.61–3.38), and an interpregnancy interval < 18 months (aOR=1.37; 95% CI, 1.21–1.55) were at increased risk of term–preterm sequence. Conclusion Caesarean delivery in the first pregnancy, new tobacco use, and short interpregnancy interval < 18 months are significant risk factors for term-preterm sequence. Women should receive postpartum counseling regarding appropriate interpregnancy interval and tobacco cessation.

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Section: Introductionmentioning

confidence: 99%

Risk factors associated with preterm birth after a prior term delivery

Wong

Wilkes

Korgenski

et al. 2015

BJOG

View full text Add to dashboard Cite

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Intrapartum Cervical Laceration and Subsequent Pregnancy Outcomes

Wong

Wilkes

Korgenski

et al. 2016

AJP Rep

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Objective The objective of this study was to describe pregnancy outcomes, including cervical insufficiency and preterm birth, in the subsequent pregnancy following an intrapartum cervical laceration. Study Design Retrospective cohort of women with their first two consecutive singleton pregnancies carried to ≥ 200/7 weeks' gestation within a tertiary health care system from 2002 to 2012. Cervical laceration cases were identified by ICD9 codes and included if suture repair was required. Results In this study, 55 women were confirmed to have a cervical laceration in the first delivery; 43 lacerations after vaginal delivery (VD) and 12 after cesarean delivery (CD). The median gestational age of the first delivery was 400/7 weeks and the median birth weight 3,545 g; these did not differ between VD and CD. In the second pregnancy, 2 of 55 women (4.6%) had a prophylactic cerclage placed; 1 carried to term and the other delivered at 356/7 weeks. In total, four women (9.3%) delivered the second pregnancy < 37 weeks: three had a prior term VD and one had a prior 34 weeks VD. There was only one case of recurrent cervical laceration, occurring in the setting of vaginal deliveries. Conclusion Obstetric cervical lacerations are uncommon. Complications in the following pregnancy were low, despite lack of additional prophylactic cerclage use.

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Cervical Incompetence Occurring after Caesarean Section: A Case Report

Abstract: A case of cervical incompetence as a result of caesarean section is presented. The role of caesarean section as an aetiological factor in cervical incompetence is discussed.

Cited by 2 publications

References 5 publications

Risk factors associated with preterm birth after a prior term delivery

Risk factors associated with preterm birth after a prior term delivery

Intrapartum Cervical Laceration and Subsequent Pregnancy Outcomes

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