Which incision type is least likely to cause complications in future pregnancies?

The low-transverse incision is considered the safest option for future pregnancies primarily because it has a lower risk of complications compared to other incision types. This type of incision is made horizontally across the lower segment of the uterus and is less likely to affect the uterine muscle, allowing for better healing.

In future pregnancies, the low-transverse incision typically poses a reduced risk of uterine rupture, which is a serious concern that can occur with any prior uterine surgery. Healing is usually more favorable with this incision, leading to improved outcomes for both the mother and the subsequent pregnancies. The less extensive nature of the low-transverse incision also tends to contribute to less postoperative pain and quicker recovery, allowing for a smoother transition into future pregnancies.

Other incision types, such as the vertical or classic incision, can lead to complications in subsequent pregnancies as they often extend into the upper uterus and may not heal as well structurally, increasing the risk of issues like uterine rupture during labor. The oblique incision has its indications but does not offer the same level of safety and low complication risk as the low-transverse incision. Therefore, the low-transverse incision is the recommended choice when considering future pregnancy outcomes.