{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T08:50:53Z","timestamp":1777625453669,"version":"3.51.4"},"reference-count":14,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T00:00:00Z","timestamp":1763683200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The main objective was to study the occurrence of intraoperative complications after emergency caesarean section during labor according to the type of hysterotomy extension performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>This was a single\u2010center comparative study of hysterotomy extension by transverse traction (January 2015 to April 2017) versus cephalocaudal traction (May 2021 to February 2022). All women who underwent an emergency caesarean section (orange or red code) during these two periods were included. The primary endpoint was a composite of the occurrence of unintended extension, uterine pedicle injury, postpartum hemorrhage &gt;1\u2009L, and the blood product transfusion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The study included 767 patients. At least one intraoperative complication occurred in 122 women (21.4%) in the transverse traction group and in 33 (16.8%) women in the cephalocaudal traction group (OR 0.74, 95% CI [0.48\u20131.13];\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.16). The incidence of these complications did not differ between groups after weighting (adjusted OR 0.78, 95% CI [0.52\u20131.19]; adjusted\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.25). Individual analysis of each component of the composite endpoint also showed no differences between groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this study of emergency caesarean sections, the type of hysterotomy extension did not significantly influence the rate or type of intraoperative complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aogs.70061","type":"journal-article","created":{"date-parts":[[2025,11,22]],"date-time":"2025-11-22T00:39:16Z","timestamp":1763771956000},"page":"87-93","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Does craniocaudal extension of the hysterotomy reduce intraoperative complications compared with transverse extension in the case of emergency caesarean section?"],"prefix":"10.1111","volume":"105","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-8802-1318","authenticated-orcid":false,"given":"Pauline","family":"Lesur","sequence":"first","affiliation":[{"name":"Department of Obstetrics CHU Lille  Lille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nassima","family":"Ramdane","sequence":"additional","affiliation":[{"name":"Department of Statistics CHU Lille  Lille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles","family":"Garabedian","sequence":"additional","affiliation":[{"name":"Department of Obstetrics CHU Lille  Lille France"},{"name":"ULR 2694\u2010Metrics University of Lille  Lille France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,21]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)31928-7"},{"key":"e_1_2_11_3_1","unstructured":"INSERM.Enqu\u00eate nationale p\u00e9rinatale. Rapport 2021. Les naissances le suivi \u00e0 deux mois et les \u00e9tablissements. [National perinatal survey. 2021 report. Births two\u2010month follow\u2010up and facilities].https:\/\/www.santepubliquefrance.fr\/docs\/enquete\u2010nationale\u2010perinatale.\u2010rapport\u20102021.\u2010les\u2010naissances\u2010le\u2010suivi\u2010a\u2010deux\u2010mois\u2010et\u2010les\u2010etablissements"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)76016-5"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-2115(97)02725-5"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2020.11.047"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/014107680009300703"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000004120"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2008.07.013"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD004732.pub2"},{"issue":"1","key":"e_1_2_11_11_1","first-page":"7","article-title":"Cesarean section technique: recommendations for clinical practice from the French National College of gynecological obstetricians","volume":"51","author":"Sentilhes L","year":"2023","journal-title":"Gyn\u00e9col Obst\u00e9t Fertil S\u00e9nol"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogc.2018.04.004"},{"key":"e_1_2_11_13_1","first-page":"1952","article-title":"Is cephalad\u2010caudad blunt expansion of the low transverse uterine incision really associated with less uncontrolled extensions to decrease intra\u2010operative blood loss? A prospective randomised\u2010controlled trial","volume":"29","author":"Ozcan P","year":"2016","journal-title":"J Matern Fetal Neonatal Med"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/sim.6607"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2016.04.035"}],"container-title":["Acta Obstetricia et Gynecologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aogs.70061","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T10:43:40Z","timestamp":1767005020000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/aogs.70061"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,21]]},"references-count":14,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/aogs.70061"],"URL":"https:\/\/doi.org\/10.1111\/aogs.70061","archive":["Portico"],"relation":{},"ISSN":["0001-6349","1600-0412"],"issn-type":[{"value":"0001-6349","type":"print"},{"value":"1600-0412","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,21]]},"assertion":[{"value":"2025-03-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}