American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Mar 1989
Case ReportsRupture and dehiscence of cesarean section scar during pregnancy and delivery.
A prospective study was undertaken to evaluate the risk of uterine rupture or dehiscence after cesarean section. During the 10 years of the study, 24,644 patients were delivered of infants. Of these women, 2036 (8.3%) had previously undergone cesarean section. ⋯ The incidence of uterine dehiscence was 4%. In summary, the risk of uterine rupture in patients who have previously undergone cesarean section but are allowed a trial of labor is low and not associated with serious complications. Vaginal delivery is therefore considered the safest route of delivery in these patients.