The higher incision at upper part of lower uterine segment in caesarean section can decrease the incidence of...

Area of Science:

• Obstetrics and Gynecology
• Reproductive Medicine
• Surgical Innovation

Background:

• Increasing rates of caesarean section and placenta accreta spectrum (PAS) worldwide.
• PAS, characterized by abnormal placental trophoblast adherence to the myometrium, poses significant maternal risks.
• Existing hypotheses for PAS etiology are numerous, necessitating further investigation into contributing factors.

Purpose of the Study:

• To explore the potential impact of uterine incision techniques during caesarean section on subsequent abnormal placentation.
• To hypothesize a surgical modification that could mitigate the risk of placenta accreta spectrum in future pregnancies.

Main Methods:

• Review of surgical techniques employed in caesarean sections.
• Analysis of the relationship between uterine incision location and placental adherence in subsequent pregnancies.

Main Results:

• Hypothesized that a higher uterine incision in the upper part of the lower uterine segment may decrease abnormal placentation.
• Further research is needed to validate this surgical approach.

Conclusions:

• Surgical technique modification during caesarean delivery is a potential avenue for reducing placenta accreta spectrum prevalence.
• A higher uterine incision in the upper part of the lower segment warrants further investigation as a preventative measure against abnormal placentation.