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4.5.5 Postoperative care after repair of extended uterine incision

  • If intraoperative blood loss was significant:
    • Trend hemoglobin
    • If suspecting a GI/urinary injury, start antibiotics (Ancef/Flagyl)
  • If extension injured the ureter or bladder, see module 4.4.
    • Leave foley in situ
    • Consider cystoscopy or CT IVP

Uterine incision extensions into the upper segment are contraindications to TOLAC. They also predispose the patient to abnormal placentation in future pregnancies.

Updated on June 28, 2021

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