PILOT STUDY OF LOWER UTERINE SEGMENT CESAREAN SCAR THICKNESS PREOPERATIVELY BY TRANSVAGINAL SONOGRAPHY AND ITS CORRELATION WITH INTRA-OPERATIVE FINDINGS
Objectives: Cesarean section rates are increasing with a decrease in the rate of trial of labor after first cesarean section. Proper assessment of uterus especially scar of the previous lower segment cesarean sections (LSCS) in pregnant females is the key stone for the successful vaginal birth after...
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ftinnovareacadem:oai:ojs2.innovareacacdemics.in:article/42491 2024-09-15T18:33:56+00:00 PILOT STUDY OF LOWER UTERINE SEGMENT CESAREAN SCAR THICKNESS PREOPERATIVELY BY TRANSVAGINAL SONOGRAPHY AND ITS CORRELATION WITH INTRA-OPERATIVE FINDINGS NAVDEEP KAUR MANJIT MOHI SARABJIT KAUR SARYU GUPTA 2021-09-07 application/pdf https://journals.innovareacademics.in/index.php/ajpcr/article/view/42491 eng eng Innovare Academic Sciences Pvt Ltd https://journals.innovareacademics.in/index.php/ajpcr/article/view/42491/25434 https://journals.innovareacademics.in/index.php/ajpcr/article/view/42491 Copyright (c) 2021 Saryu Gupta http://creativecommons.org/licenses/by/4.0 Asian Journal of Pharmaceutical and Clinical Research; Vol 14 Issue 9 September 2021; 57-64 2455-3891 0974-2441 Lower segment caesarean section Scar thickness Scar measurements Transvaginal sonography info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion 2021 ftinnovareacadem 2024-06-24T03:27:06Z Objectives: Cesarean section rates are increasing with a decrease in the rate of trial of labor after first cesarean section. Proper assessment of uterus especially scar of the previous lower segment cesarean sections (LSCS) in pregnant females is the key stone for the successful vaginal birth after cesarean section. The objective of this pilot study was to evaluate LSCS scar thickness using transvaginal sonography (TVS) and to determine the correlation between TVS and intraoperatively measured lower uterine segment cesarean scar thickness. Methods: This prospective observational analytic pilot study was carried out jointly by the Departments of Obstetrics and Gynaecology and Radiodiagnosis, Government Medical College and Rajindra Hospital, Patiala after due ethical and research committee approval. 100 women at term with history of previous LSCS and who were scheduled for elective LSCS were recruited for the study after taking the informed consent. Pre-operative scar measurement as on TVS was compared with and analyzed with intraoperative (I/o) scar measurements taken by Calipers. Results: The cutoff value for TVS readings was found to be ≤2.5 mm using receiver operating characteristic analysis. It has significant correlation with I/o scar measurements. It also has a significant relationship with age, pre-pregnancy overweight, number of the previous LSCS, and gestational age. Conclusion: Assessment of the scar integrity and quality by TVS will be helpful in selecting candidates for trial of labor with an optimally informed decision but still a number of studies have to be done to develop a robust scoring system. Article in Journal/Newspaper SCAR Innovare Academic Sciences |
institution |
Open Polar |
collection |
Innovare Academic Sciences |
op_collection_id |
ftinnovareacadem |
language |
English |
topic |
Lower segment caesarean section Scar thickness Scar measurements Transvaginal sonography |
spellingShingle |
Lower segment caesarean section Scar thickness Scar measurements Transvaginal sonography NAVDEEP KAUR MANJIT MOHI SARABJIT KAUR SARYU GUPTA PILOT STUDY OF LOWER UTERINE SEGMENT CESAREAN SCAR THICKNESS PREOPERATIVELY BY TRANSVAGINAL SONOGRAPHY AND ITS CORRELATION WITH INTRA-OPERATIVE FINDINGS |
topic_facet |
Lower segment caesarean section Scar thickness Scar measurements Transvaginal sonography |
description |
Objectives: Cesarean section rates are increasing with a decrease in the rate of trial of labor after first cesarean section. Proper assessment of uterus especially scar of the previous lower segment cesarean sections (LSCS) in pregnant females is the key stone for the successful vaginal birth after cesarean section. The objective of this pilot study was to evaluate LSCS scar thickness using transvaginal sonography (TVS) and to determine the correlation between TVS and intraoperatively measured lower uterine segment cesarean scar thickness. Methods: This prospective observational analytic pilot study was carried out jointly by the Departments of Obstetrics and Gynaecology and Radiodiagnosis, Government Medical College and Rajindra Hospital, Patiala after due ethical and research committee approval. 100 women at term with history of previous LSCS and who were scheduled for elective LSCS were recruited for the study after taking the informed consent. Pre-operative scar measurement as on TVS was compared with and analyzed with intraoperative (I/o) scar measurements taken by Calipers. Results: The cutoff value for TVS readings was found to be ≤2.5 mm using receiver operating characteristic analysis. It has significant correlation with I/o scar measurements. It also has a significant relationship with age, pre-pregnancy overweight, number of the previous LSCS, and gestational age. Conclusion: Assessment of the scar integrity and quality by TVS will be helpful in selecting candidates for trial of labor with an optimally informed decision but still a number of studies have to be done to develop a robust scoring system. |
format |
Article in Journal/Newspaper |
author |
NAVDEEP KAUR MANJIT MOHI SARABJIT KAUR SARYU GUPTA |
author_facet |
NAVDEEP KAUR MANJIT MOHI SARABJIT KAUR SARYU GUPTA |
author_sort |
NAVDEEP KAUR |
title |
PILOT STUDY OF LOWER UTERINE SEGMENT CESAREAN SCAR THICKNESS PREOPERATIVELY BY TRANSVAGINAL SONOGRAPHY AND ITS CORRELATION WITH INTRA-OPERATIVE FINDINGS |
title_short |
PILOT STUDY OF LOWER UTERINE SEGMENT CESAREAN SCAR THICKNESS PREOPERATIVELY BY TRANSVAGINAL SONOGRAPHY AND ITS CORRELATION WITH INTRA-OPERATIVE FINDINGS |
title_full |
PILOT STUDY OF LOWER UTERINE SEGMENT CESAREAN SCAR THICKNESS PREOPERATIVELY BY TRANSVAGINAL SONOGRAPHY AND ITS CORRELATION WITH INTRA-OPERATIVE FINDINGS |
title_fullStr |
PILOT STUDY OF LOWER UTERINE SEGMENT CESAREAN SCAR THICKNESS PREOPERATIVELY BY TRANSVAGINAL SONOGRAPHY AND ITS CORRELATION WITH INTRA-OPERATIVE FINDINGS |
title_full_unstemmed |
PILOT STUDY OF LOWER UTERINE SEGMENT CESAREAN SCAR THICKNESS PREOPERATIVELY BY TRANSVAGINAL SONOGRAPHY AND ITS CORRELATION WITH INTRA-OPERATIVE FINDINGS |
title_sort |
pilot study of lower uterine segment cesarean scar thickness preoperatively by transvaginal sonography and its correlation with intra-operative findings |
publisher |
Innovare Academic Sciences Pvt Ltd |
publishDate |
2021 |
url |
https://journals.innovareacademics.in/index.php/ajpcr/article/view/42491 |
genre |
SCAR |
genre_facet |
SCAR |
op_source |
Asian Journal of Pharmaceutical and Clinical Research; Vol 14 Issue 9 September 2021; 57-64 2455-3891 0974-2441 |
op_relation |
https://journals.innovareacademics.in/index.php/ajpcr/article/view/42491/25434 https://journals.innovareacademics.in/index.php/ajpcr/article/view/42491 |
op_rights |
Copyright (c) 2021 Saryu Gupta http://creativecommons.org/licenses/by/4.0 |
_version_ |
1810475674140409856 |