ABSTRACT

Caesarean section is one of the most common surgeries worldwide. However, the mechanical behaviour of a caesarean scar during a vaginal birth after caesarean (VBAC) is not well understood, due to many questions concerning the uterine wound healing process. The aim of this work is to study the biomechanical Maylard scar stiffness influence during a VBAC through computational methods. A biomechanical model comprising simplified geometries of a foetus and a uterus is therefore used to achieve that objective. The results revealed that an increase of the matrix stiffness of a Maylard scar has an impact on its mechanical behaviour during a VBAC, especially on the maximum principal stress, compared to the uninjured uterine tissue.