Risk factors for Korean women to develop an isthmocele after a cesarean section

BMC Pregnancy and Childbirth
In Yang ParkM J Kim

Abstract

The increase in number of cesarean section (CS) operations has resulted in an increase in cases of isthmocele development. The objective of this study is to determine the risk factors for isthmocele development after CS. Isthmocele measurements were taken for 404 women with a history of at least one low transverse CS. The following potential risk factors were investigated: patient's age at CS, cause of CS, weeks of gestation at CS, premature rupture of membrane (PROM), phase of labor, type suture (single/double layer), operation time, uterine flexion (anteversion/retroversion), and blood transfusion during operation. A transvaginal ultrasound was carried out to examine the isthmocele in the uterus after CS, including the shape of the isthmocele, residual myometrial thickness, depth and width of isthmocele, cervical thickness, location of the isthmocele, and clinical characteristics. In our study population, the isthmocele had a prevalence of 73.8%. Most isthmocele had a triangular (65.4%) or semicircular shape (10.4%). The presence of an isthmocele was significantly associated with repeat CS, premature rupture of membrane (PROM), short operation time, and extent of cervix dilatation at CS. The risk of isthmocele was low in wome...Continue Reading

References

Jan 1, 1990·Ultrasound in Medicine & Biology·H Y ChenF J Hsieh
Jul 17, 2003·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Cecilia FabresEmilio Fernández
Jul 19, 2005·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Fehmi YaziciogluKadir Savan
Dec 7, 2007·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·D Ofili-YeboviD Jurkovic
Jun 6, 2009·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·O Vikhareva OsserL Valentin
Jul 8, 2010·BJOG : an International Journal of Obstetrics and Gynaecology·O Vikhareva Osser, L Valentin
Mar 8, 2012·Current Opinion in Obstetrics & Gynecology·Pasquale FlorioGiampietro Gubbini
May 18, 2013·Journal of Minimally Invasive Gynecology·Amanda M Tower, Gary N Frishman
Sep 3, 2013·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·A J M Bij de VaateJ A F Huirne
Oct 7, 2014·Journal of Minimally Invasive Gynecology·G RaimondoV Masciullo
Mar 17, 2015·European Journal of Obstetrics, Gynecology, and Reproductive Biology·A J Marjolein Bij de VaateJudith A F Huirne
Jul 10, 2016·Journal of Minimally Invasive Gynecology·Togas Tulandi, Aviad Cohen
Jun 8, 2017·Archives of Gynecology and Obstetrics·Yan ChenYan-Xia Li

❮ Previous
Next ❯

Citations

May 31, 2019·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·Meltem TekelioğluNiyazi Tuğ
Oct 18, 2020·Journal of Gynecology Obstetrics and Human Reproduction·Reihaneh HosseiniMaryam Rabiee
Jun 19, 2021·Gynécologie, Obstétrique, Fertilité & Sénologie·A TorreP Crochet
Aug 20, 2021·Journal of Obstetrics and Gynaecology of India·Taru GuptaMonica Kanyal

❮ Previous
Next ❯

Methods Mentioned

BETA
cesarean section
cesarean

Software Mentioned

SAS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.