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.
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References
Aschoff. Verhandl. d. deutsch. path. Cesellschafi, 1907.
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.
Von Franque O. Cervix u. Unteres Uterinsegment. Stuttgart. 1897.
Frankl O. On physiology and pathology of isthmus uteri. J Obst & Gynaec., Brit Emp. 1933;40:397.
Barbour AHF. Trans Edinb Obstet Soc. 1907–8;33:145.
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.
Munro Kerr’s operative obstetrics centenary edition, 11th ed. chapter 11. Saunders Elseveir Limited; 2007. p. 153–4..
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.
Chapman SJ, Owen J, Hauth JC. One versus two layer closure of low tranverse cesarean, the next pregnancy. Obstet Gynecol. 1997;89:16.
McIntyre D. Histological studies of various uterine scars. Proc R Soc Med. 1924;17 (Obstet Gynaecol Sect):131–56.
Wilson AL. Labor and delivery after cesarean section. Am J Obstet Gynecol. 1951;62(6):1225–33.
Schwarz O, Paddock R, Bortnick AR. The cesarean section scar: an experimental study. Am J Obstet Gynecol. 1938;36:962.
Rawal A. Professor Dept. of Obstetrics and Gynecology. Ahmedabad: NHL Mun. Medical College. Personal communication.
Kotdawala P. Uterine and internal iliac artery ligation. World Clin Obstet Gynecol. 2012;2(2):291–306.
O’Leary JL, O’Leary JN. Uterine artery ligation for control of post cesarean section hemorrhage. ObstetGynecol. 1979;43:849–53.
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.
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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
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DOI: https://doi.org/10.1007/978-81-322-2692-5_18
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