الفهرس | Only 14 pages are availabe for public view |
Abstract Cesarean section (CS) is one of the most recurrently carried out surgical procedures in modern obstetrics. About 18.5 million CSs are conducted yearly worldwide, and 21–33% of all CSs in excess are performed in middle and high-income countries. The effectiveness of CS in preventing maternal and prenatal mortality and morbidity is justifiable medically, though there is no scientific confirmation that shows the benefit of cesarean delivery for the mother or for the newborn baby who does not require CS. The consequence of each cesarean section is uterine scar formation. In some patients, the uterine scar after cesarean section heals incompletely, and as a result, the uterine niche is formed. Most of the small niches are asymptomatic, but the large cesarean scar niches in nonpregnant women may cause a cesarean scar syndrome, which manifests itself as abnormal uterine bleeding, dysmenorrhea, and secondary infertility . |