{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T23:41:12Z","timestamp":1790898072579,"version":"4.1.0"},"reference-count":201,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,4,11]],"date-time":"2025-04-11T00:00:00Z","timestamp":1744329600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Previous caesarean section (CS) is increasingly common among women undergoing induced abortion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To map and analyse existing literature on abortion safety, outcomes and management in those with previous CS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>Four databases were systematically searched from inception to July 2024. Primary human studies in English reporting on outcomes, safety or management of first\u2010 or second\u2010trimester medical (MToP) or surgical (SToP) abortion in women with previous CS were included. Uterine rupture incidence was analysed cumulatively in the first and secondtrimesters by the number of CS and the type of prostaglandin used. Data on the efficacy and safety of MToP and SToP, including studies reporting on the management of abortion in the setting of abnormal placentation, were collected and analysed by theme.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 164 articles met inclusion criteria. Incidence of uterine rupture in first\u2010trimester MToP was 0 of 2194 cases, in second\u2010trimester misoprostol MToP in those with 1 previous CS was 0.5% (10\/1910) and 2.2% (18\/835) in women with \u2265\u20092 CS (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Mifepristone priming did not increase the rupture rate in second\u2010trimester MToP (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.77). Previous CS was a modest risk factor for retained products after MToP across both trimesters (OR 1.48, CI 1.29\u20131.70).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Medical and surgical abortion in the first and second trimester appears safe in women with prior CS; however, risks include uterine rupture, need for surgical intervention and haemorrhage from undiagnosed placenta accreta. Further research and guidance are needed on managing abortion after previous classical CS, \u2265\u20093 previous CS and those with abnormally invasive placenta.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajo.70013","type":"journal-article","created":{"date-parts":[[2025,4,12]],"date-time":"2025-04-12T01:30:37Z","timestamp":1744421437000},"page":"564-585","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Induced Abortion After Previous Caesarean Section: A Scoping Review"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3906-8769","authenticated-orcid":false,"given":"Natalie","family":"Drever","sequence":"first","affiliation":[{"name":"College of Medicine and Dentistry James Cook University  Cairns Queensland Australia"},{"name":"Department of Obstetrics and Gynaecology Cairns Hospital  Cairns Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinay","family":"Gangathimmaiah","sequence":"additional","affiliation":[{"name":"College of Medicine and Dentistry James Cook University  Townsville Queensland Australia"},{"name":"Department of Emergency Medicine Townsville University Hospital  Townsville Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brittany","family":"van Der Lugt","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Cairns Hospital  Cairns Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cecelia","family":"O'Brien","sequence":"additional","affiliation":[{"name":"College of Medicine and Dentistry James Cook University  Townsville Queensland Australia"},{"name":"Department of Obstetrics and Gynaecology Townsville University Hospital  Townsville Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catriona","family":"Melville","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Logan Hospital, Metro South Hospital and Health Service  Meadowbrook Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0030-2431","authenticated-orcid":false,"given":"Kirsten","family":"Black","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynaecology and Neonatology, School of Medicine University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4994-7196","authenticated-orcid":false,"given":"Caroline","family":"de Costa","sequence":"additional","affiliation":[{"name":"The Cairns Institute James Cook University  Cairns Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,11]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2021-005671"},{"key":"e_1_2_7_3_1","unstructured":"Australian Institute of Health and Welfare \u201cAustralia's Mothers and Babies \u201d2022."},{"key":"e_1_2_7_4_1","volume-title":"National Core Maternity Indicators","author":"Health AIo, Welfare","year":"2023"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2005.tb06783.x"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.aoa.0000443357.48425.00"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31819dbfe2"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471\u20100528.2010.02688.x"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471\u20100528.2009.02190.x"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000005259"},{"key":"e_1_2_7_11_1","unstructured":"National Institute for Health and Care Excellence \u201cAbortion Care [Nice Guideline No. 140] \u201d2019."},{"key":"e_1_2_7_12_1","volume-title":"Abortion Care Guideline","author":"World Health Organization","year":"2022"},{"key":"e_1_2_7_13_1","volume-title":"Termination of Pregnancy, Guideline No. MN19.21\u2010V6\u2010R24","author":"Queensland Clinical Guidelines","year":"2020"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.12080"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.13119"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjebm\u20102020\u2010111452"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.46658\/JBIMES-20-01"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.7326\/m18\u20100850"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l4898"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i4919"},{"key":"e_1_2_7_21_1","unstructured":"ROBINS\u2010E Development Group J. 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