Selected Topics in Early Pregnancy Care

Hidden morbidity of Caesarean sections:
uterine scars and their impact on women’s health

London, 18th June 2011



Academy of Medical Sciences

41 Portland Place

London W1B 1QH


Dr. Jara Ben-Nagi (London, UK)

Ms. Cecilia Bottomley (London, UK)

Prof. Wolfgang Henrich (Berlin, Germany)

Prof. José M Palacios Jaraquemada (Buenos Aires, Argentina)

Mr. Davor Jurkovic (London, UK)

Dr. George Raju (London, UK)

Ms. Jackie Ross (London, UK)

Prof. Lil Valentin (Malmö, Sweden)

Dr. Olga Vikhareva Osser (Malmö, Sweden)

Dr. Joost Zwart (Leiden, The Netherlands)


Ultrasound assessment of uterine scars.

Why do some scars heal badly?

How to diagnose scar implantation?

Natural history of Caesarean scar pregnancy.

Management of scar pregnancies – Surgery vs Conservative.

Management of abnormally adherent placenta praevia.

Role of interventional radiology in the management of abnormally adherent placenta.

Surgical repair of deficient scars – Technique and possible benefits.

Reproductive outcomes following Caesarean scar ectopic.




10.00 - 10.10 Welcome and Introduction
Mr Davor Jurkovic

Session I

Deficient Caesarean section scars – causes, epidemiology and diagnosis


10.10 – 10.30 Why do lower segment uterine scars heal badly?
Prof Lil Valentin


10.30 - 10.50 Ultrasound assessment of uterine scars
Dr Olga Vikhareva Osser


10.50 -11.10 Uterine scars and risk of rupture
Dr Joost Zwart


11.10 – 11.20 Discussion


11.20 – 11.50 COFFEE

Session II

Complications of deficient scars


11.50 – 12.10 Menstrual disorders in women with deficient uterine scars
To be confirmed


12.10 – 12.30 How common are scar implantations and why do they occur?
Ms Jara Ben-Nagi

12.30 – 12.50 Ultrasound diagnosis of pregnancy in the uterine scar
Mr Davor Jurkovic


12.50 – 13.00 Discussion

13.00 – 13.40 LUNCH

Session III

Management of first trimester scar pregnancies


13.40 – 14.00 Conservative management
Ms Cecilia Bottomley


14.00 – 14.20 Surgical management
Ms Jackie Ross


14.20 – 14.30 Discussion

Session IV

Advanced scar pregnancies


14.30 – 14.50 Management of abnormally adherent placenta
Prof Wolfgang Henrich


14.50 – 15.10 The role of interventional radiology in placenta praevia/accreta
Dr George Raja

15.10 – 15.20 Discussion

15.20 – 15.50 TEA

Session V

Fertility following scar implantation


15.50 – 16.10 Surgical repair of deficient scars – Technique and possible benefits
Prof José M Palacios Jaraquemada


16.10 – 16.30 Reproductive outcomes following Caesarean scar ectopic
Mr Davor Jurkovic

16.30 – 16.50 Discussion and Close