Correlation between Sonographic Caesarean Section Scar Thickness and Intraoperative Appearance of Lower Uterine Segment | ||||
| Evidence Based Women's Health Journal | ||||
| Volume 14, Issue 2, May 2024, Page 228-234 PDF (651.73 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ebwhj.2024.277232.1314 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Bassiony Mohammed Bassiony  1; mona kamal2; mohamed M Fikry1; Hany M Saad1; Mohammed M Kamal1; Manal M Moussa1
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| 1Faculty of medicine, Cairo University | ||||
| 2specialist at MOH | ||||
| Abstract | ||||
| Objective: Detection of the relation between transvaginal ultrasound measurement of cesarean scar thickness with intraoperative uterine scar grading assessed sonographically, and intraoperative integrity. Patients and Methods: A total of 44 pregnant women with previous CS scheduled for elective caesarean delivery at term were enrolled and subjected to pre-delivery transvaginal ultrasound examination of caesarean scar thickness and correlated with intraoperative lower uterine segment grading. Results: The best cut off value of transvaginal sonographic measurements of caesarean section scar thickness for detection of dehiscence was <3.5 mm i.e. grade III and IV with sensitivity 75%% and specificity 88.9%, positive predictive value 60% and negative predictive value 94.1%. The mean value of cesarean section scar thickness was 2.32±0.40mm for scar dehiscence group. Conclusion: Transvaginal sonographic measurements of caesarean section scar thickness had a proper sensitivity in prediction of possibility of cesarean scar dehiscence and it give an idea about risk and benefits of performing trial of labor after cesarean section. | ||||
| Keywords | ||||
| Caesarean scar thickness; dehiscence; rupture uterus; ultrasound | ||||
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