Prediction of Preoperative Cesarean Scar Dehiscence by Using 2D Ultrasound in Pregnant Women with Previous Cesarean Section | ||||
| International Journal of Medical Arts | ||||
| Articles in Press, Accepted Manuscript, Available Online from 03 September 2024 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ijma.2024.245532.1850 | ||||
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| Authors | ||||
Eman Barhome Elsayed Mohamed  1; Ehab Mohamed Elhelw2; Hamada Mohammed Abu Elmatti2
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| 1Department of Obstetrics and Gynecology, Mansoura Specialized Hospital, Ministry of Health, Mansoura, Egypt | ||||
| 2Department of Obstetrics and Gynecology, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt | ||||
| Abstract | ||||
| Background: Cesarean scar dehiscence [CSD] during subsequent pregnancy is a serious complication that can lead to uterine rupture. Identifying risk factors and allowing close monitoring could help prevent such complications. Two-dimensional [2D] ultrasound is commonly used to evaluate cesarean scars, but its predictive value for CSD is unclear. Aim of the Study: To assess the accuracy of preoperative 2D transvaginal ultrasound in predicting cesarean scar dehiscence during repeat cesarean section. Patients and Methods: Women with a history of one prior cesarean delivery and who required repeat cesarean were recruited. Transvaginal ultrasound [TAS] was performed on all women to measure the thickness of the lower uterine segment [LUS] at 36 to 40 weeks. The grade of LUS was then detected during surgery. The ultrasound measurement was correlated with intraoperative measurements. Results: Lower uterine segment dehiscence stage 4 was discovered in 3 women [5%]. Ultrasonography thickness had a statistically significant negative correlation with the scar grade at a cutoff level of <1.550 mm. The US thickness had a sensitivity of 84.6% and specificity of 87.5% for predicting a grade 4 uterine scar. Conclusion: Preoperative 2D transvaginal ultrasound appears to be a reliable method for predicting cesarean scar dehiscence prior to repeat cesarean delivery. This helps reduce complications. | ||||
| Keywords | ||||
| Dehiscence; Cesarean Section; Ultrasonography; Pregnancy | ||||
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