Caesarean scar niche
A pouch in the caesarean scar that can cause spotting, pain or difficulty conceiving.
Latest evidence · for clinicians
Caesarean scar niche
Repair techniques, symptom and fertility outcomes, niche measurement on ultrasound.
This page is written for clinicians and referrers and is not advice for individual patients. If you are a patient, the plain-language page is Caesarean scar niche .
Each week the literature is searched for new papers on caesarean scar niche, screened to the few that meet the evidence bar, and each one is verified on PubMed before it is summarised. I read every entry and give one verdict: whether the paper changes what I tell patients or do in theatre, supports current practice, or leaves it unchanged. Papers appear here newest first, grouped by the week they were found, with the study design, the main result and its effect size, and the reason for the verdict. Abstracts are not reproduced; the summaries are my own.
Nothing reviewed yet in this stream. Papers appear here once they have been read, usually within a week of the search that found them.
Every paper on this site's evidence pages is also available as open data at /evidence/papers.json. The search and screening rules are on the evidence index.
For patients: Caesarean scar niche
The plain-language page on what the condition is, how I assess it and the choices, written for the women I see.