DOI: 10.11648/j.jgo.20261403.11 ISSN: 2376-7820

Uterine Scar Dehiscence Found During Emergency Caesarean Section: A Case Report

Emiliana Mvungi, Innocent Kaiza, Ndakibae Mabega
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Background: We are presenting a 27 years old female with her second pregnancy at 42 weeks of gestation who was admitted because she was post date with one previous uterine scar and planned for emergency caesarean section due to aforementioned reasons. She was prepared and sent to theatre where uterine scar dehiscence was found but she got a live fetus male baby weighed 3.2kg and scored 9 and 10 at 1 st and 5 th minutes respectively. The patient received all necessary post operative cares, she progress well while in the ward and was discharged in good health after 3 days and came again in the 7 th day for suture remove and then continued with post natal visits as per protocol until was discharged from the clinic. Conclusion: Uterine scar dehiscence without notable complications to the mother and her fetus is rare condition which necessitates serious attention to most women with previous caesarean delivery. In preconception period around 3 to 6 months post previous c/section, transvaginal ultrasound is ideal to measure the lower uterine segment thickness and during pregnancy is better at 32 to 36 weeks using trans-abdominal ultrasound. Whenever an ultrasound is not conclusive, MRI can be used. This case is presented to emphasize on importance of scheduled caesarean section at 37 completed weeks.

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