Morphology of the cesarean section scar in the non-pregnant uterus after one elective cesarean section

Ginekologia polska
Michal PomorskiMariusz Zimmer

Abstract

A growing number of studies suggest that the incomplete healing of the CS scar in the uterus increase the risk of uterine dehiscence or rupture during subsequent pregnancies. Thus, the factors that affect wound healing should be evaluated. We aimed to determine whether the morphology of the CS scar in non-pregnant women after one elective CS was affected by the site of the uterine incision, uterine flexion, maternal age, and fetal birth weight. 208 non-pregnant women were invited for participation in the study, but only 101 of them met inclusion criteria. Standardized scar parameters (residual myometrial thickness (RMT), depth (D) and width (W) of the hypoechoic niche) were measured using ultrasonography at least 6 weeks after the CS. Scar defect was detected in 26 of 101 subjects. Women without scar defect had significantly higher RMT values (1.87 vs. 0.87), lower newborn birth weight (3127 g vs. 3295 g), and higher scar location above the internal cervical os (62% vs. 16%), than those with scar defect. Maternal age was significantly correlated with D value (R = 0.40). Uterine retroflexion was significantly correlated with a larger D value (R = 0.63) and a larger D/RMT ratio (R = 0.24). In low-risk women who have undergone one...Continue Reading

Citations

May 10, 2019·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Ziya KalemMüberra Namlı Kalem
May 17, 2018·BMC Pregnancy and Childbirth·I Y ParkM J Kim
Sep 18, 2020·The Journal of International Medical Research·Xiuqiong ZhengYan Chen
Jan 19, 2021·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Shira BitenskyAdi Yehuda Weintraub
Jan 29, 2021·Obstetrical & Gynecological Survey·Julie R WhittingtonEverett F Magann
Jun 17, 2021·The Journal of Obstetrics and Gynaecology Research·Kobra TahermaneshIbrahim Alkatout
Jun 19, 2021·Gynécologie, Obstétrique, Fertilité & Sénologie·A TorreP Crochet
Nov 3, 2021·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Clarel AntoineIlan E Timor-Tritsch

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