Post-Caesarean Section Niche-Related Impaired Fertility | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2024, Issue 1, January 2024 | ||||
| DOI: 10.58675/2682-339X.2228 | ||||
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| Authors | ||||
| Fahd Abdelal El Omda1; Mohamed Ibrahim Mohamed2; Mohamed Elbayoumy Mohamed2 | ||||
| 1Department of Obstetrics and Gynecology, Faculty of Medicine For Boys, Al-Azhar University, Cairo, Egypt | ||||
| 2Department of Obstetrics and Gynecology, Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt | ||||
| Abstract | ||||
| A cesarean section is a common surgical operation all around the world. Post-caesarean niches, sometimes called isthmoceles, are anechoic myometrial indentation at the caesarean scar site caused by improper healing. Our study aimed to examine the role of the postoperative niche in reducing fertility following a cesarean surgery. 50 cases were randomly recruited from those who visited the obstetrics and gynecology outpatient clinics at Al Azhar University Hospitals for this prospective observational, cross-sectional study. Our results revealed that Mean age in included 50 cases, mean duration of secondary infertility was 2.62 years, 76% of cases had elective CS , 24% had emergency CS, 24% had no complications, 24% had PPH, 40% had wound complications and 12% cases had puerperal fever, As regard niche characteristics, 62% of cases had niche length < 9 mm and 38% had length ≥ 9 mm, Depth (mm) < 5 founded in 38% of cases and ≥ 5 depth founded in 62%, As regard Gynaecological symptoms in niche population Prolonged menses was the highest percent 50% and Pregnancy rate was the highest percent in Reproductive outcomes in population with niche after treatment. Regarding our results we can concluded that There may be a connection between the presence of a niche and subfertility following a Caesarean section, however this is not always the case. Several factors could contribute to the decreased fertility rates observed following a caesarean operation. | ||||
| Keywords | ||||
| Post-Caesarean section niche; impaired fertility; Caesarean section | ||||
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