Pregnancy outcomes in women with cesarean section scar defects and secondary infertility after vaginal repair: a multicenter observational cohort analysis.

ABSTRACT:

Background

Secondary infertility following cesarean section is associated with the presence of cesarean section scar defects (CSD). Vaginal repair (VR) is an effective reconstructive surgery for excising CSD, with previous evidence confirming its ability to alleviate menstrual symptoms. To study the pregnancy outcomes of CSD women after VR, we conducted an observational cohort study and analyzed the relationship between clinical characteristics and pregnancy outcomes.

Methods

495 women desiring fertility among 1,085 women with CSD who underwent VR was enrolled between June 2014 and December 2021 in Xinhua Hospital and Shanghai First Maternity & Infant Hospital. All participants had undergone VR and were followed up postoperatively to document menstrual patterns and assess CS

SUBMITTER: Yin Y 

PROVIDER: S-EPMC12852386 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature