Prognostic Factors for Niche Development in the Uterine Caesarean Section Scar

Lucy (Lucet) F.van der Voet, A. Marjolein J.Bij de Vaate, Martijn W. Heymans, Hans A.M. Brölmann, Sebastiaan Veersema, Judith A.F. Huirne

Research output: Contribution to journalLetterAcademicpeer-review

17 Citations (Scopus)


In a prospective study on 134 women after their first cesarean section prognostic factors for developing an uterine niche (scar defect) measured with sonohysterography were evaluated. With multivariable logistic regression anlaysis the following prognostic factors were identified; enlarged cervical dilatation and induction of labour. Contractions before labour reduced the risk for niche development. The predictive value of the model made with this prognostic factors was low. The development of a niche is a multifactorial proces and more studies are needed.

Original languageEnglish
Pages (from-to)31-32
Number of pages2
JournalEuropean Journal of Obstetrics Gynecology and Reproductive Biology
Publication statusPublished - 1 Jun 2017


  • Cesarean section
  • Niche
  • Scar defect
  • Sonohysterography
  • Ultrasound

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