Document Detail

Cervical insufficiency following cesarean delivery after prolonged second stage of labor: experiences of two cases.
MedLine Citation:
PMID:  20492397     Owner:  NLM     Status:  MEDLINE    
Cervical insufficiency is a known risk factor for preterm birth and miscarriage. The etiology of cervical insufficiency has not been fully recognized and the association between it and prior cesarean delivery is unknown. We experienced two similar characteristic cases of cervical insufficiency following term cesarean delivery. Interestingly, both cesarean sections were uneventfully performed after the prolonged second stage of labor. Our experience and recent literature strongly support the idea that an unintentional incision into the uterine cervix during a previous cesarean section may cause cervical insufficiency in subsequent pregnancies. It is important for obstetricians to take into account the possible occurrence of cervical insufficiency depending on the circumstances of previous deliveries. Our report highlights the need to alert obstetricians to take more care with their cesarean section technique.
Shinsuke Koyama; Takuji Tomimatsu; Takeshi Kanagawa; Kenjiro Sawada; Tateki Tsutsui; Tadashi Kimura
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The journal of obstetrics and gynaecology research     Volume:  36     ISSN:  1447-0756     ISO Abbreviation:  J. Obstet. Gynaecol. Res.     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-05-24     Completed Date:  2010-08-20     Revised Date:  2012-01-19    
Medline Journal Info:
Nlm Unique ID:  9612761     Medline TA:  J Obstet Gynaecol Res     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  411-3     Citation Subset:  IM    
Division of Obstetrics and Gynecology, Department of Specific Organ Regulation, Osaka University Graduate School of Medicine, Yamadaoka, Suita, Osaka, Japan.
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MeSH Terms
Cerclage, Cervical
Cesarean Section / adverse effects*,  methods
Labor Stage, Second
Treatment Outcome
Uterine Cervical Incompetence / etiology*,  surgery

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