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Related Experiment Video

Updated: Oct 8, 2025

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Can uterine niche be prevented?

Claire Delage de Luget1, Elise Becchis1, Hervé Fernandez2

  • 1Service de Gynécologie-Obstétrique-AMP, Hôpital Saint Joseph, 26 Bd de Louvain, 13285 Marseille Cedex, France.

Journal of Gynecology Obstetrics and Human Reproduction
|December 27, 2021
PubMed
Summary

Uterine niche, a complication after Caesarean section, is linked to surgical factors. Reducing primary Caesarean sections and optimizing incision techniques may mitigate risks.

Keywords:
Caesarean sectionIsthmoceleNichePreventionTreatmentUltrasound

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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.