Inverted “T” Incision Restricted to Lower Uterine Segment as a new Surgical Technique during Caesarean Section with Previous Caesarean Scaring

A caesarean section (CS) is a life-saving surgical procedure when certain complications arise during pregnancy and labor. However, it is a major surgery and is associated with immediate maternal and perinatal risks and may have implications for future pregnancies as well as long-term effects still being investigated [1]. CS rates have been increasing worldwide to as high as 25 to 30 %, and are a growing concern in many countries. High rates of cesarean deliveries are now an international phenomenon [2]. According to Egypt Demographic and Health Survey (EDHS) 2014on the frequency of caesarean sections, more than onehalf of deliveries in the five-year period before the survey were by caesarean section. The likelihood of a caesarean delivery increased with the age of the mother and decreased with the child’s birth order. Caesarean deliveries were more common in urban areas than in rural areas (60 percent and 48 percent, respectively) [3]. A cesarean section as a surgical procedure can lead to numerous complications in both mother and child. A WHO study of adverse maternal and fetal outcomes between 2004 and 2008 in 24 countries showed that cesarean sections are associated with increased risks for mother and child, and that therefore a Volume 2 Issue 5 2016