Ultrasound Method Evaluation Of Lower Uterine Segment In Patients With Previous Uterine Caesarean Section
ULTRASOUND METHOD EVALUATION OF LOWER UTERINE SEGMENT IN PATIENTS WITH PREVIOUS UTERINE CAESAREAN SECTIONINTRODUCTIONCaesarean section has reached high prevalence in population, becoming the most common surgical operation for women over the world. However, operation is associated with two important...
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| Format: | Other/Unknown Material |
| Language: | English |
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Morressier
2017
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| Online Access: | https://doi.org/10.26226/morressier.59f838b6a874c6001b34e85d https://openresearchlibrary.org/ext/api/media/707b1e29-4e92-46a1-b67d-c4a40ba6d4a4/assets/external_content.pdf https://openresearchlibrary.org/viewer/707b1e29-4e92-46a1-b67d-c4a40ba6d4a4 |
| Summary: | ULTRASOUND METHOD EVALUATION OF LOWER UTERINE SEGMENT IN PATIENTS WITH PREVIOUS UTERINE CAESAREAN SECTIONINTRODUCTIONCaesarean section has reached high prevalence in population, becoming the most common surgical operation for women over the world. However, operation is associated with two important risk factors: the chance of uterus scar rupture during next pregnancy and motheru2019s death. Vaginal delivery is one of the options how to reduce /smooth out increasing value of C-sections. The risk of uterine rupture in the presence of an lower segment C-section scar is related directly to the degree of thinning of the lower uterine segment. Transabdominal ultrasonography (TA USG) is the most common used method to measure myometrium, from which the decision in performing C-section is made. But it is still debatable if the measurements are precise between transabdominal and transvaginal ultrasonography and between women with or without scar on the uterus. No cut-off values have been developed and tested, underlining the need for more standardized measurement techniques and nomenclature.OBJECTIVES The aim of prospective cohort study was to compare and to find a correlation between the measurement of lower uterine segment thickness made with transabdominal ultrasonography method and lately manually made measurements in vivo during Caesarean section.METHODSResearch work was made in Pauls Stradiu0146u0161 Clinical University Hospital, Maternity care center (Riga, Latvia) and was approved by the local research and ethics committee. Informed content was obtained from all women. During research 414 measurements of lower uterine segment (LUS) thickness were made for 69 single fetus pregnant women in 38.97 u00b1 1.124 gestation week.Based on data from anamnesis, patients were divided into 3 groups:A group- women without a scar on uterus (n=29),B group- women with history of one performed C-section (n=29),C group- women with history of performed two or more C-sections (n=11). All patients underwent transabdominal ultrasound ... |
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