Skip to main content

The Lower Segment of Uterus – A Critical Area in Childbirth and Resulting Trauma

  • Chapter
  • First Online:
Principles of Critical Care in Obstetrics
  • 2232 Accesses

Abstract

The lower uterine segment is a very small segment of the uterus but very important in pregnancy and in labor. It is formed from the isthmus of the uterus, probably with the addition of the lower part of the corpus that corresponds to the area of loose attachment of the peritoneum that is partly present before pregnancy begins. Several important aspects are mentioned in this chapter.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Aschoff. Verhandl. d. deutsch. path. Cesellschafi, 1907.

    Google Scholar 

  2. Stieve H. Muskulatur und Bindegewebe in der wand der menshchlichen Geburmutter.auscherhalb und wahrend der Schwangerschaft, wahrender gebut und des Wochenbettes. Z Mikr anat forsch. 1929;17:371–518.

    Google Scholar 

  3. Von Franque O. Cervix u. Unteres Uterinsegment. Stuttgart. 1897.

    Google Scholar 

  4. Frankl O. On physiology and pathology of isthmus uteri. J Obst & Gynaec., Brit Emp. 1933;40:397.

    Google Scholar 

  5. Barbour AHF. Trans Edinb Obstet Soc. 1907–8;33:145.

    Google Scholar 

  6. Danforth DN. The fibrous nature of human cervix and its relationship to the isthmic segment in gravid and nongravid uteri. American Journal of Obstetrics and Gynecology. 1947;53:541–57.

    CAS  PubMed  Google Scholar 

  7. Munro Kerr’s operative obstetrics centenary edition, 11th ed. chapter 11. Saunders Elseveir Limited; 2007. p. 153–4..

    Google Scholar 

  8. Stark M. Technique of cesarean section: the Misgav-Ladach method. In: Popkin DR, Peddle LJ, editors. Women’s health today. Perspectives on current research and clinical practice. New York: Proceedings of the 14th World Congress, Gynecol Obstet. London: Partheneon; 1994. p. 81–5.

    Google Scholar 

  9. Chapman SJ, Owen J, Hauth JC. One versus two layer closure of low tranverse cesarean, the next pregnancy. Obstet Gynecol. 1997;89:16.

    Article  CAS  PubMed  Google Scholar 

  10. McIntyre D. Histological studies of various uterine scars. Proc R Soc Med. 1924;17 (Obstet Gynaecol Sect):131–56.

    Google Scholar 

  11. Wilson AL. Labor and delivery after cesarean section. Am J Obstet Gynecol. 1951;62(6):1225–33.

    CAS  PubMed  Google Scholar 

  12. Schwarz O, Paddock R, Bortnick AR. The cesarean section scar: an experimental study. Am J Obstet Gynecol. 1938;36:962.

    Google Scholar 

  13. Rawal A. Professor Dept. of Obstetrics and Gynecology. Ahmedabad: NHL Mun. Medical College. Personal communication.

    Google Scholar 

  14. Kotdawala P. Uterine and internal iliac artery ligation. World Clin Obstet Gynecol. 2012;2(2):291–306.

    Google Scholar 

  15. O’Leary JL, O’Leary JN. Uterine artery ligation for control of post cesarean section hemorrhage. ObstetGynecol. 1979;43:849–53.

    Google Scholar 

  16. B-Lynch C, Shah H. Conservative surgical management. In: Arulkumaran S, Karoshi M, et al. editers. A comprehensive textbook of postpartum hemorrhage. 2nd ed. Sapiens Publishing; 2012. p. 433–40.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ajit C. Rawal .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer India

About this chapter

Cite this chapter

Rawal, A.C. (2016). The Lower Segment of Uterus – A Critical Area in Childbirth and Resulting Trauma. In: Gandhi, A., Malhotra, N., Malhotra, J., Gupta, N., Bora, N. (eds) Principles of Critical Care in Obstetrics. Springer, New Delhi. https://doi.org/10.1007/978-81-322-2692-5_18

Download citation

  • DOI: https://doi.org/10.1007/978-81-322-2692-5_18

  • Published:

  • Publisher Name: Springer, New Delhi

  • Print ISBN: 978-81-322-2690-1

  • Online ISBN: 978-81-322-2692-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics