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

Wael Abdallah; Bernard Najib; David Atallah

doi:10.1016/j.mehy.2020.110228

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

Med Hypotheses. 2020 Nov:144:110228. doi: 10.1016/j.mehy.2020.110228. Epub 2020 Sep 2.

Authors

Wael Abdallah¹, Bernard Najib¹, David Atallah²

Affiliations

¹ Department of Gynecology and Obstetrics, Hôtel-Dieu de France University Hospital, Saint Joseph University, Beirut, Lebanon.
² Department of Gynecology and Obstetrics, Hôtel-Dieu de France University Hospital, Saint Joseph University, Beirut, Lebanon. Electronic address: [email protected].

PMID: 33254537
DOI: 10.1016/j.mehy.2020.110228

Abstract

Caesarean section rate and placenta accreta spectrum prevalence are in continuous increase during last years. Multiple hypotheses can explain the abnormal adherence of placenta trophoblast to the myometrium. By reviewing the surgical techniques used in caesarean section, we hypothesize that the higher uterine incision at upper part of lower segment could decrease the abnormal placentation in next pregnancies.

Keywords: Caesarean section; Niche; Placenta accreta spectrum; Upper incision.

MeSH terms

Cesarean Section
Female
Humans
Incidence
Placenta Accreta* / epidemiology
Placenta Accreta* / surgery
Placenta Previa* / epidemiology
Placenta Previa* / surgery
Pregnancy
Uterus / surgery