C-Section - Series
1. Normal anatomy
2. Indications
3. Procedure, part 1
4. Procedure, part 2
5. Procedure, part 3
6. Procedure, part 4
7. Procedure, part 5
8. Procedure, part 6
9. Aftercare
Procedure, part 3
Next, the surgeon opens the uterus with either a horizontal or vertical incision, regardless the direction of the skin/abdominal incision. A vertical incision on the uterus causes less bleeding and better access to the fetus, but renders the mother unable to attempt a vaginal delivery (must have another repeat C-section) in the future.
If you end up with a horizontal incision, you will have the option of either going through a trial of labor (TOL) or electing a repeat c-section.
The reason for the differences between the two is that patients with vertical uterine incisions have a much higher chance of rupturing the uterus (8-10%) in the future pregnancies, compared to only 1% in those with horizontal incisions.
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Review Date : 12/17/2001
Reviewed By : A.D.A.M Medical Illustration Team
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