{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T17:34:59Z","timestamp":1787938499616,"version":"build-2784847793"},"reference-count":15,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2017,10,1]],"date-time":"2017-10-01T00:00:00Z","timestamp":1506816000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","medical-hypotheses.com","clinicalkey.com","clinicalkey.es","clinicalkey.com.au","clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Medical Hypotheses"],"published-print":{"date-parts":[[2017,10]]},"DOI":"10.1016\/j.mehy.2017.08.006","type":"journal-article","created":{"date-parts":[[2017,8,7]],"date-time":"2017-08-07T19:30:51Z","timestamp":1502134251000},"page":"54-56","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":9,"special_numbering":"C","title":["Caesarean section scar causes myometrial hypertrophy with subsequent heavy menstrual flow and dysmenorrhoea"],"prefix":"10.1016","volume":"108","author":[{"given":"Ayman A.A.","family":"Ewies","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulises","family":"Zanetto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.mehy.2017.08.006_b0005","unstructured":"HSCIC. The Health and Social Care Information Centre NHS (HSCIC), Maternity Statistics \u2013 England, 2013-14, 28 January 2015. Accessed on 20 May 2017, from: <http:\/\/www.hscic.gov.uk\/catalogue\/PUB16725>."},{"issue":"1","key":"10.1016\/j.mehy.2017.08.006_b0010","first-page":"1","article-title":"Primary cesarean delivery rates, by state: results from the revised birth certificate, 2006\u20132012","volume":"63","author":"Osterman","year":"2014","journal-title":"Natl Vital Stat Rep"},{"key":"10.1016\/j.mehy.2017.08.006_b0015","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1186\/1471-2393-14-285","article-title":"Cesarean section in Shanghai: women's or healthcare provider's preferences?","volume":"14","author":"Deng","year":"2014","journal-title":"BMC Pregnancy Childbirth"},{"key":"10.1016\/j.mehy.2017.08.006_b0020","unstructured":"Gibbons L, Belizan J, Lauer J, Betran A, Merialdi M, Althabe F. The global numbers and costs of additionally needed and unnecessary caesarean sections performed per year: overuse as a barrier to universal coverage. World Health Organization, World Health Report, Background Paper, 30. 2010."},{"issue":"12","key":"10.1016\/j.mehy.2017.08.006_b0025","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":"Hum Reprod"},{"issue":"1","key":"10.1016\/j.mehy.2017.08.006_b0030","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":"2","key":"10.1016\/j.mehy.2017.08.006_b0035","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1111\/1471-0528.12537","article-title":"Minimally invasive therapy for gynaecological symptoms related to a niche in the caesarean scar: a systematic review","volume":"121","author":"van der Voet","year":"2014","journal-title":"BJOG"},{"issue":"1","key":"10.1016\/j.mehy.2017.08.006_b0040","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1590\/S1679-45082012000100011","article-title":"Hysteroscopic findings in patients with post-menstrual spotting with prior cesarean section","volume":"10","author":"Talamonte","year":"2012","journal-title":"Einstein (Sao Paulo)"},{"issue":"1","key":"10.1016\/j.mehy.2017.08.006_b0045","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1002\/uog.7496","article-title":"Cesarean section scar defects: agreement between transvaginal sonographic findings with and without saline contrast enhancement","volume":"35","author":"Osser","year":"2010","journal-title":"Ultrasound Obstet Gynecol"},{"issue":"10","key":"10.1016\/j.mehy.2017.08.006_b0050","doi-asserted-by":"crossref","first-page":"1105","DOI":"10.7863\/jum.2001.20.10.1105","article-title":"Saline infusion sonohysterography in nonpregnant women with previous cesarean delivery: the \u201cniche\u201d in the scar","volume":"20","author":"Monteagudo","year":"2001","journal-title":"J Ultrasound Med"},{"issue":"1","key":"10.1016\/j.mehy.2017.08.006_b0055","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1097\/00004347-199501000-00004","article-title":"Surgical pathology of the lower uterine segment caesarean section scar: is the scar a source of clinical symptoms?","volume":"14","author":"Morris","year":"1995","journal-title":"Int J Gynecol Pathol"},{"issue":"1","key":"10.1016\/j.mehy.2017.08.006_b0060","doi-asserted-by":"crossref","first-page":"13","DOI":"10.7863\/jum.1999.18.1.13","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":"1","key":"10.1016\/j.mehy.2017.08.006_b0065","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/0020-7292(96)02676-8","article-title":"Criteria for the diagnosis of diffuse uterine myohypertrophy","volume":"54","author":"Traiman","year":"1996","journal-title":"Int J Gynaecol Obstet"},{"key":"10.1016\/j.mehy.2017.08.006_b0070","first-page":"281","article-title":"Post Caesarean isthmic scar and myometrial hypertrophy: evidence towards an eventual causal relationship","volume":"36","author":"Zanetto","year":"1998","journal-title":"Patolog\u00eda (M\u00e9xico)"},{"issue":"3","key":"10.1016\/j.mehy.2017.08.006_b0075","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1097\/AOG.0b013e3182854b36","article-title":"Preventing the first cesarean delivery: summary of a joint Eunice Kennedy Shriver National Institute of Child Health and Human Development, Society for Maternal-Fetal Medicine, and American College of Obstetricians and Gynecologists workshop. In reply","volume":"121","author":"Spong","year":"2013","journal-title":"Obstet Gynecol"}],"container-title":["Medical Hypotheses"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0306987717306552?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0306987717306552?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2018,8,29]],"date-time":"2018-08-29T13:58:46Z","timestamp":1535551126000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0306987717306552"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,10]]},"references-count":15,"alternative-id":["S0306987717306552"],"URL":"https:\/\/doi.org\/10.1016\/j.mehy.2017.08.006","relation":{},"ISSN":["0306-9877"],"issn-type":[{"value":"0306-9877","type":"print"}],"subject":[],"published":{"date-parts":[[2017,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Caesarean section scar causes myometrial hypertrophy with subsequent heavy menstrual flow and dysmenorrhoea","name":"articletitle","label":"Article Title"},{"value":"Medical Hypotheses","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.mehy.2017.08.006","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2017 Elsevier Ltd. All rights reserved.","name":"copyright","label":"Copyright"}]}}