Can uterine niche be prevented?

Area of Science:

• Obstetrics and Gynecology
• Surgical Complications

Background:

• Uterine niche is a recognized complication following Caesarean section.
• Diagnosis is typically achieved through ultrasound imaging.

Purpose of the Study:

• To review and discuss potential risk factors contributing to uterine niche formation.
• To identify modifiable factors for preventing this complication.

Main Methods:

• Literature review of studies discussing Caesarean section techniques and uterine niche.
• Analysis of factors such as timing of delivery, incision location, and surgical techniques.

Main Results:

• Several factors are debated regarding their role in uterine niche development.
• The rate of primary Caesarean section is a key modifiable risk factor.
• Incision placement (high) and bladder flap management are also considered important.

Conclusions:

• Reducing the rate of primary Caesarean section is crucial for prevention.
• Optimizing surgical techniques, including incision height and bladder flap preservation, may reduce uterine niche incidence.