British journal of obstetrics and gynaecology
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Br J Obstet Gynaecol · Oct 1988
Classical versus low-segment transverse incision for preterm caesarean section: maternal complications and outcome of subsequent pregnancies.
In a retrospective, controlled, follow-up study of 326 women who had a primary preterm caesarean section, the risks of postoperative maternal morbidity and uterine rupture or dehiscence in subsequent pregnancies were investigated in relation to the mode of incision (classical compared with low-segment transverse incision). The classical incision was associated with a higher frequency of postpartum fever in the immediate postoperative period (16% compared with 6%, P less than 0.01). ⋯ Of the pregnancies after the classical operation 13% had abnormal scars compared with none of those after the low-segment transverse operation (P = 0.0014). The frequency of scar dehiscence was 6% after a classical scar compared with none after a low-segment transverse scar (P = 0.0581).