The many ways to sew up a uterus. "Single-layer" vs. "double-layer" cesarean repair: what's best?
Cohain, J.Slome.
Midwifery Today with International Midwife 2004(70): 32-34
2004
ISSN/ISBN: 1551-8892 PMID: 15310123 Document Number: 571330
Some clinicians have used a single, poorly-designed, retrospective study of single-layer vs. double-layer repair of the uterus during cesarean surgery to justify denying women the option of a trial of labor on subsequent pregnancies. This paper reviews the latest research and suggests the adoption of four new protocols for women after a cesarean. Women should receive a full summary of the repair methods used during their surgery; Women should be counseled as to the risk of delivering another child less than two years after uterine surgery; On subsequent pregnancies after cesarean birth, women should have an ultrasound near the end of the pregnancy looking for evidence of placental growth in the area of the scar and implications of this should be explained; and Vicryl sutures should be used for sewing up the uterus.