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Reply: Search for a predictive relationship between ultrasound thickness of the lower uterine segment and rupture of the uterus in women with a prior cesarean does not make biological sense

  • Patrick Rozenberg
    Affiliations
    Department of Obstetrics and Gynecology, Centre Hospitalier Intercommunal de Poissy/Saint-Germain-en-Laye, Rue du Champ Gaillard, 78303 Poissy Cedex, France
    Research Unit EA 7285, Versailles-Saint-Quentin University, Saint Quentin en Yvelines, France
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Published:September 27, 2021DOI:https://doi.org/10.1016/j.ajog.2021.09.030
      We would like to thank Drs Ragusa and Svelato for their comments regarding our recent article titled “Evaluation of the usefulness of ultrasound measurement of the lower uterine segment before delivery of women with a prior cesarean: a randomized trial.”
      • Rozenberg P.
      • Sénat M.V.
      • Deruelle P.
      • et al.
      Evaluation of the usefulness of ultrasound measurement of the lower uterine segment before delivery of women with a prior cesarean delivery: a randomized trial.
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      References

        • Rozenberg P.
        • Sénat M.V.
        • Deruelle P.
        • et al.
        Evaluation of the usefulness of ultrasound measurement of the lower uterine segment before delivery of women with a prior cesarean delivery: a randomized trial.
        Am J Obstet Gynecol. 2021; ([Epub ahead of print])
        • Wesley B.D.
        • Sewell C.A.
        • Chang C.Y.
        • Hatfield K.P.
        • Nguyen C.P.
        Prescription medications for use in pregnancy-perspective from the US Food and Drug Administration.
        Am J Obstet Gynecol. 2021; 225: 21-32

      Linked Article

      • Search for a predictive relationship between ultrasound thickness of the lower uterine segment and rupture of the uterus in women with a prior cesarean delivery does not make biological sense
        American Journal of Obstetrics & Gynecology
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          We read with great interest the recent article titled “Evaluation of the usefulness of ultrasound measurement of the lower uterine segment before delivery of women with a prior cesarean: a randomized trial.”1 The authors conclude that “ultrasound measurements of the lower uterine segment (LUS) thickness did not result in a statistically significant lower frequency of maternal and perinatal adverse outcomes than standard management.” Although this conclusion is true, other studies have concluded that “LUS thickness measured by ultrasound during the third trimester of pregnancy is inversely correlated with uterine scar rupture/dehiscence at delivery”2; a conclusion arrived at without demonstrating the practical utility of the method, which has too many false-positives, and above all, false-negative results.
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