Which is a reason a low transverse (Kerr) incision is made during a cesarean section?

a. Bladder is not dissected off the uterus
b. Low anterior placenta is present
c. Cervical cancer is diagnosed
d. Less chance of rupture in future pregnancies


ANS: D
When using a Kerr incision, the bladder is dissected off the uterus and retracted gently downward. The lower uterine segment is entered through a low horizontal curvilinear incision. This approach causes less intraoperative blood loss and decreased chance of rupture with subsequent pregnancies. Some patients will be able to have vaginal deliveries in future pregnancies.

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