{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T22:59:38Z","timestamp":1791241178957,"version":"4.1.0"},"reference-count":20,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"name":"Competitive Research Funding of Pirkanmaa Hospital District","award":["9U036"],"award-info":[{"award-number":["9U036"]}]},{"name":"School of University of Tampere"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","ejog.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Obstetrics & Gynecology and Reproductive Biology"],"published-print":{"date-parts":[[2020,1]]},"DOI":"10.1016\/j.ejogrb.2019.11.021","type":"journal-article","created":{"date-parts":[[2019,11,21]],"date-time":"2019-11-21T02:43:18Z","timestamp":1574304198000},"page":"134-140","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":34,"special_numbering":"C","title":["Association of cesarean scar defect with abnormal uterine bleeding: The results of a prospective study"],"prefix":"10.1016","volume":"244","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0151-0478","authenticated-orcid":false,"given":"Riitta M.","family":"Antila","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanna U.","family":"M\u00e4enp\u00e4\u00e4","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heini S.","family":"Huhtala","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eija I.","family":"Tom\u00e1s","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Synn\u00f6ve M.","family":"Staff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"9","key":"10.1016\/j.ejogrb.2019.11.021_bib0005","doi-asserted-by":"crossref","first-page":"983","DOI":"10.1001\/archsurg.1997.01430330049007","article-title":"Surgical operations in the United States. Then (1983) and now (1994)","volume":"132","author":"Rutkow","year":"1997","journal-title":"Arch Surg"},{"issue":"July (1)","key":"10.1016\/j.ejogrb.2019.11.021_bib0010","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1002\/uog.6395","article-title":"High prevalence of defects in Cesarean section scars at transvaginal ultrasound examination","volume":"34","author":"Osser","year":"2009","journal-title":"Ultrasound Obstet Gynecol"},{"issue":"1","key":"10.1016\/j.ejogrb.2019.11.021_bib0015","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1002\/uog.6405","article-title":"Cesarean scar defect: correlation between Cesarean section number, defect size, clinical symptoms and uterine position","volume":"34","author":"Wang","year":"2009","journal-title":"Ultrasound Obstet Gynecol"},{"issue":"5","key":"10.1016\/j.ejogrb.2019.11.021_bib0020","doi-asserted-by":"crossref","first-page":"413","DOI":"10.3109\/01443615.2011.577252","article-title":"Sonographically detected caesarean section scar defects and menstrual irregularity","volume":"31","author":"Uppal","year":"2011","journal-title":"J Obstet Gynaecol [Internet]"},{"issue":"January (1)","key":"10.1016\/j.ejogrb.2019.11.021_bib0025","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1002\/uog.8864","article-title":"Ultrasound evaluation of the Cesarean scar: relation between a niche and postmenstrual spotting","volume":"37","author":"Bij de Vaate","year":"2011","journal-title":"Ultrasound Obstet Gynecol England"},{"issue":"January (2)","key":"10.1016\/j.ejogrb.2019.11.021_bib0030","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1111\/1471-0528.12542","article-title":"Long-term complications of caesarean section. The niche in the scar: a prospective cohort study on niche prevalence and its relation to abnormal uterine bleeding","volume":"121","author":"van der Voet","year":"2014","journal-title":"BJOG England"},{"issue":"July (7)","key":"10.1016\/j.ejogrb.2019.11.021_bib0035","doi-asserted-by":"crossref","first-page":"695","DOI":"10.7863\/jum.2003.22.7.695","article-title":"The cesarean delivery scar pouch","volume":"22","author":"Fabres","year":"2003","journal-title":"J Ultrasound Med [Internet]. American Institute of Ultrasound in Medicine"},{"issue":"4","key":"10.1016\/j.ejogrb.2019.11.021_bib0040","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1159\/000091497","article-title":"Vaginal ultrasonographic and hysterosonographic evaluation of the low transverse incision after caesarean section: correlation with gynaecological symptoms","volume":"61","author":"Menada Valenzano","year":"2006","journal-title":"Gynecol Obstet Invest [Internet]. Karger Publishers"},{"issue":"4","key":"10.1016\/j.ejogrb.2019.11.021_bib0045","first-page":"1","article-title":"Resectoscopic treatment combined with sonohysterographic evaluation of women with postmenstrual bleeding as a result of previous cesarean delivery scar defects","volume":"200","author":"Chang","year":"2009","journal-title":"Am J Obstet Gynecol Mosby Inc."},{"issue":"March (2)","key":"10.1016\/j.ejogrb.2019.11.021_bib0050","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1016\/j.jmig.2007.10.004","article-title":"Resectoscopic correction of the \u201cisthmocele\u201d in women with postmenstrual abnormal uterine bleeding and secondary infertility","volume":"15","author":"Gubbini","year":"2008","journal-title":"J Minim Invasive Gynecol"},{"issue":"January (1)","key":"10.1016\/j.ejogrb.2019.11.021_bib0055","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1016\/j.jmig.2004.12.023","article-title":"Surgical treatment and follow-up of women with intermenstrual bleeding due to cesarean section scar defect","volume":"12","author":"Fabres","year":"2005","journal-title":"J Minim Invasive Gynecol"},{"issue":"May (12)","key":"10.1016\/j.ejogrb.2019.11.021_bib0060","article-title":"Comparison of transvaginal ultrasound and saline contrast sonohysterography in evaluation of cesarean scar defect: a prospective cohort study","author":"Antila-L\u00e5ngsj\u00f6","year":"2018","journal-title":"Acta Obstetricia et Gynecologica Scandinavica [Internet]"},{"issue":"September","key":"10.1016\/j.ejogrb.2019.11.021_bib0065","article-title":"Cesarean scar defect: a prospective study on risk factors","volume":"18","author":"Antila-L\u00e5ngsj\u00f6","year":"2018","journal-title":"Am J Obstet Gynecol"},{"issue":"3","key":"10.1016\/j.ejogrb.2019.11.021_bib0070","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1002\/uog.10077","article-title":"Standardized approach for imaging and measuring Cesarean section scars using ultrasonography","volume":"39","author":"Naji","year":"2012","journal-title":"Ultrasound Obstet Gynecol"},{"issue":"March","key":"10.1016\/j.ejogrb.2019.11.021_bib0075","article-title":"A practical guideline for examining a uterine niche using ultrasonography in non-pregnant women: a modified Delphi method amongst European experts","volume":"14","author":"Jordans","year":"2018","journal-title":"Ultrasound Obstet Gynecol [Internet]"},{"issue":"1","key":"10.1016\/j.ejogrb.2019.11.021_bib0080","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1007\/s003300050103","article-title":"Magnetic resonance imaging evaluation of incision healing after cesarean sections","volume":"7","author":"Dicle","year":"1997","journal-title":"Eur Radiol"},{"issue":"April","key":"10.1016\/j.ejogrb.2019.11.021_bib0085","article-title":"Patient-reported outcome measures in benign gynecologic surgery","volume":"1","author":"Traylor","year":"2019","journal-title":"Curr Opin Obstet Gynecol"},{"issue":"April (5)","key":"10.1016\/j.ejogrb.2019.11.021_bib0090","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1111\/1471-0528.13273","article-title":"The menstrual bleeding questionnaire: development and validation of a comprehensive patient-reported outcome instrument for heavy menstrual bleeding","volume":"122","author":"Matteson","year":"2015","journal-title":"BJOG An Int J Obstet Gynaecol"},{"issue":"January (1)","key":"10.1016\/j.ejogrb.2019.11.021_bib0095","article-title":"Cesarean section scar as a cause of abnormal vaginal bleeding: diagnosis by sonohysterography","volume":"18","author":"Thurmond","year":"1999","journal-title":"J Ultrasound Med"},{"issue":"February (3)","key":"10.1016\/j.ejogrb.2019.11.021_bib0100","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1111\/1471-0528.14733","article-title":"Hysteroscopic resection of a uterine caesarean scar defect (niche) in women with postmenstrual spotting: a randomised controlled trial","volume":"125","author":"Vervoort","year":"2018","journal-title":"BJOG An Int J Obstet Gynaecol"}],"container-title":["European Journal of Obstetrics & Gynecology and Reproductive Biology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0301211519305366?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0301211519305366?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T05:47:35Z","timestamp":1759556855000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0301211519305366"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":20,"alternative-id":["S0301211519305366"],"URL":"https:\/\/doi.org\/10.1016\/j.ejogrb.2019.11.021","relation":{},"ISSN":["0301-2115"],"issn-type":[{"value":"0301-2115","type":"print"}],"subject":[],"published":{"date-parts":[[2020,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Association of cesarean scar defect with abnormal uterine bleeding: The results of a prospective study","name":"articletitle","label":"Article Title"},{"value":"European Journal of Obstetrics & Gynecology and Reproductive Biology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ejogrb.2019.11.021","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2019 Elsevier B.V. All rights reserved.","name":"copyright","label":"Copyright"}]}}