OBSTETRIC MORBIDITY ASSOCIATED WITH CESAREAN NICHE: A CASE REPORT

Abstract

We presented the case of a 32-year-old woman with a history of two early pregnancy losses and previous cesarean delivery 2012. had a laparoscopic repair of the cesarean niche in 2018, she experienced an intrauterine fetal demise at 27 weeks in her subsequent pregnancy, leading to medical management with Misoprostol. In 2023 with new pregnancy at 39 weeks and 6 days gestation, she presented with lower abdominal pain, necessitating emergency management with cesarean section due to a scar dehiscence-like pouch. A baby girl was delivered with favorable outcomes. This case underscores the importance of early diagnosis and appropriate management of cesarean niche pregnancy to prevent maternal complications. Early recognition and prompt intervention are crucial for optimizing outcomes in cesarean niche pregnancies.