{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T23:12:32Z","timestamp":1785539552652,"version":"3.56.0"},"reference-count":23,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100007899","name":"University of Arizona","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007899","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100018746","name":"Society of Gynecologic Surgeons","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100018746","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jmig.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Minimally Invasive Gynecology"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1016\/j.jmig.2026.01.045","type":"journal-article","created":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T07:49:05Z","timestamp":1769240945000},"page":"736-743","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Incidence and Time to Niche Development Following Cesarean Delivery: Retrospective Analysis of a National Population-Derived Database"],"prefix":"10.1016","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7625-8695","authenticated-orcid":false,"given":"Megan S.","family":"Orlando","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9904-9557","authenticated-orcid":false,"given":"Nelson Brandon","family":"Barba","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ernie","family":"Shippey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5987-9775","authenticated-orcid":false,"given":"Pamela","family":"Garcia-Filion","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosanne M.","family":"Kho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jmig.2026.01.045_bib0001","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1097\/GCO.0000000000000380","article-title":"The minimally invasive approach to the symptomatic isthmocele - what does the literature say? A step-by-step primer on laparoscopic isthmocele - excision and repair","volume":"29","author":"Sipahi","year":"2017","journal-title":"Curr Opin Obstet Gynecol"},{"key":"10.1016\/j.jmig.2026.01.045_bib0002","doi-asserted-by":"crossref","first-page":"758","DOI":"10.1016\/j.fertnstert.2022.06.031","article-title":"Cesarean scar defects and abnormal uterine bleeding: a systematic review and meta-analysis","volume":"118","author":"Murji","year":"2022","journal-title":"Fertil Steril"},{"key":"10.1016\/j.jmig.2026.01.045_bib0003","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1055\/s-0038-1676109","article-title":"Isthmocele: from risk factors to management","volume":"41","author":"Iannone","year":"2019","journal-title":"Revista Brasileira de Ginecologia e Obstetricia"},{"key":"10.1016\/j.jmig.2026.01.045_bib0004","doi-asserted-by":"crossref","first-page":"458.e1","DOI":"10.1016\/j.ajog.2018.09.004","article-title":"Cesarean scar defect: a prospective study on risk factors","volume":"219","author":"Antila-L\u00e5ngsj\u00f6","year":"2018","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.jmig.2026.01.045_bib0005","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1016\/j.fertnstert.2023.11.007","article-title":"Isthmocele, not cesarean section per se, reduces in vitro fertilization success: a systematic review and meta-analysis of over 10,000 embryo transfer cycles","volume":"121","author":"Vitagliano","year":"2024","journal-title":"Fertil Steril"},{"key":"10.1016\/j.jmig.2026.01.045_bib0006","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1002\/uog.19049","article-title":"Sonographic examination of uterine niche in non-pregnant women: a modified Delphi procedure","volume":"53","author":"Jordans","year":"2019","journal-title":"Ultrasound in Obstetrics and Gynecology"},{"key":"10.1016\/j.jmig.2026.01.045_bib0007","doi-asserted-by":"crossref","first-page":"1119","DOI":"10.1111\/j.1471-0528.2010.02631.x","article-title":"Risk factors for incomplete healing of the uterine incision after caesarean section: general obstetrics","volume":"117","author":"Vikhareva Osser","year":"2010","journal-title":"BJOG"},{"key":"10.1016\/j.jmig.2026.01.045_bib0008","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 in Obstetrics and Gynecology"},{"key":"10.1016\/j.jmig.2026.01.045_bib0009","doi-asserted-by":"crossref","first-page":"893","DOI":"10.1016\/j.jmig.2016.06.020","article-title":"Emerging manifestations of cesarean scar defect in reproductive-aged women","volume":"23","author":"Tulandi","year":"2016","journal-title":"J Minim Invasive Gynecol"},{"key":"10.1016\/j.jmig.2026.01.045_bib0010","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1007\/s00404-017-4417-6","article-title":"Risk factors for incomplete healing of the uterine incision after cesarean section","volume":"296","author":"Chen","year":"2017","journal-title":"Arch Gynecol Obstet"},{"key":"10.1016\/j.jmig.2026.01.045_bib0011","doi-asserted-by":"crossref","DOI":"10.1186\/s12884-023-06228-7","article-title":"The degree of risk factor and accumulation effect for large niche in individuals after cesarean section","volume":"24","author":"Wang","year":"2024","journal-title":"BMC Pregnancy Childbirth"},{"key":"10.1016\/j.jmig.2026.01.045_bib0012","doi-asserted-by":"crossref","first-page":"578","DOI":"10.1002\/uog.17401","article-title":"Risk of cesarean scar defect following single- vs double-layer uterine closure: systematic review and meta-analysis of randomized controlled trials","volume":"50","author":"Di Spiezio Sardo","year":"2017","journal-title":"Ultrasound in Obstetrics and Gynecology"},{"key":"10.1016\/j.jmig.2026.01.045_bib0013","doi-asserted-by":"crossref","first-page":"866","DOI":"10.1111\/1471-0528.16472","article-title":"Effect of single- versus double-layer uterine closure during cesarean section on postmenstrual spotting (2Close): multicentre, double-blind, randomised controlled superioritytrial","volume":"128","author":"Stegwee","year":"2021","journal-title":"BJOG"},{"key":"10.1016\/j.jmig.2026.01.045_bib0014","unstructured":"WHO Statement on Caesarean Section Rates. 2015. Accessed December 26, 2024. Available at: https:\/\/iris.who.int\/bitstream\/handle\/10665\/161442\/WHO_RHR_15.02_eng.pdf;jsessionid=A276364E4BC%2086655B042584B49DF0876?sequence=1."},{"key":"10.1016\/j.jmig.2026.01.045_bib0015","doi-asserted-by":"crossref","DOI":"10.1136\/bmjgh-2021-005671","article-title":"Trends and projections of caesarean section rates: global and regional estimates","volume":"6","author":"Betran","year":"2021","journal-title":"BMJ Glob Health"},{"key":"10.1016\/j.jmig.2026.01.045_bib0016","doi-asserted-by":"crossref","first-page":"1943","DOI":"10.1093\/humrep\/det130","article-title":"Impact of Caesarean section on subsequent fertility: a systematic review and meta-analysis","volume":"28","author":"Gurol-Urganci","year":"2013","journal-title":"Hum Reprod"},{"key":"10.1016\/j.jmig.2026.01.045_bib0017","doi-asserted-by":"crossref","first-page":"1484","DOI":"10.1093\/humrep\/deaa094","article-title":"Post-Caesarean section niche-related impaired fertility: hypothetical mechanisms","volume":"35","author":"Vissers","year":"2020","journal-title":"Human Reproduction"},{"key":"10.1016\/j.jmig.2026.01.045_bib0018","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1002\/uog.26171","article-title":"Diagnosis and management of isthmocele (Cesarean scar defect): a SWOT analysis","volume":"62","author":"Dominguez","year":"2023","journal-title":"Ultrasound in Obstetrics and Gynecology"},{"key":"10.1016\/j.jmig.2026.01.045_bib0019","volume":"73","author":"Osterman","year":"2022","journal-title":"National Vital Statistics Reports Volume"},{"key":"10.1016\/j.jmig.2026.01.045_bib0020","doi-asserted-by":"crossref","DOI":"10.1186\/s12884-018-1821-2","article-title":"Risk factors for Korean women to develop an isthmocele after a cesarean section","volume":"18","author":"Park","year":"2018","journal-title":"BMC Pregnancy Childbirth"},{"key":"10.1016\/j.jmig.2026.01.045_bib0021","doi-asserted-by":"crossref","DOI":"10.1016\/j.xagr.2023.100299","article-title":"Investigating the risk factors for isthmocele development after cesarean delivery","volume":"4","author":"Fakhr","year":"2024","journal-title":"AJOG Global Reports"},{"key":"10.1016\/j.jmig.2026.01.045_bib0022","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1002\/uog.13199","article-title":"Prevalence, potential risk factors for development and symptoms related to the presence of uterine niches following Cesarean section: Systematic review","volume":"43","author":"Bij De Vaate","year":"2014","journal-title":"Ultrasound in Obstetrics and Gynecology"},{"key":"10.1016\/j.jmig.2026.01.045_bib0023","first-page":"2695","article-title":"Why do niches develop in caesarean uterine scars? Hypotheses on the aetiology of niche development","volume":"30","author":"Vervoort","year":"2015","journal-title":"Human Reproduction"}],"container-title":["Journal of Minimally Invasive Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1553465026000683?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1553465026000683?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T09:59:46Z","timestamp":1780567186000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1553465026000683"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":23,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["S1553465026000683"],"URL":"https:\/\/doi.org\/10.1016\/j.jmig.2026.01.045","relation":{},"ISSN":["1553-4650"],"issn-type":[{"value":"1553-4650","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Incidence and Time to Niche Development Following Cesarean Delivery: Retrospective Analysis of a National Population-Derived Database","name":"articletitle","label":"Article Title"},{"value":"Journal of Minimally Invasive Gynecology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jmig.2026.01.045","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 AAGL. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}