Sonographic assessment of lower uterine segment thickness preoperative vs. intraoperative assessment in women with previous cesarean

Authors

  • Frmesk Nawzad Hawez Maternity Teaching Hospital, Erbil, Iraq.
  • Aryana Khales Jawad Head, Department of Gynaecology, Kurdistan Board for Medical Specialities, Erbil, Iraq.
  • Mahabad Ali Sabir Maternity Teaching Hospital, Erbil, Iraq.

DOI:

https://doi.org/10.22317/imj.v6i1.1163

Keywords:

Ultrasonography, transvaginal, transabdominal, Iraq

Abstract

Objectives; In this study we compared transabdominal ultrasound to transvaginal ultrasound to determine which one of them is most accurate in measuring the LUS.

Methods; a prospective observational study on 100 pregnant at term women with history of previous one CS visited Maternity Teaching Hospital between period Jan 2020 to Sep 2020.

Results; of total 100 women ( age range 20-42 years), more than half were primiparous and majority were with no history of miscarriage, mean LUS was 4 mm with standard deviation 1.09 in abdominal ultra sound 3.4 with standard deviation 1.14 in transvaginal and 3.45mm with standard deviation 1.2 in intraoperative before delivering head of the baby (p < 0.001).

Conclusion; Trans vaginal ultrasound is more accurate than transabdominal ultrasound in measuring lower uterine segment.

References

Crowther CA, Dodd JM, Hiller JE, Haslam RR, Robinson JS. Planned Vaginal Birth or Elective Repeac Cesarean: Patient Preference restricted, Cohort with Nested randomized Trial. PLOS Med 2012; 9: e1001192.

VikharevaO, Valentin L.Clinical importance of appearance of Cesarean hysterotomy scat at transvaginal ultrasonongraphy in nonpregnantwomen. ObstetGynecol 2011; 117: 525-532.

Guise J-M. Vaginal delivery after caesarean section. BMJ. 2004;329:359–360.

Guise J-M, Eden K, Emeis C, Denman MA, Marshall N, Fu RR, et al. Vaginal birth after cesarean: new insights. Evid Rep Technol Assess (Full Rep). 2010:1–397.

ACOG today new VBAC guidelines 2010Aug 2010 Volume 54, Issue 4 page 6-9))

Rozenberg P, Goffinet F, Phillippe HJ, Nisand I. Ultrasonographic measurement of lower uterine segment to assess risk of defects of scarred uterus. Lancet. 1996;347:281–284.

Cheung VY, Constantinescu OC, Ahluwalia BS. Sonographic evaluation of the lower uterine segment in patients with previous cesarean delivery. J Ultrasound Med. 2004;23:1441–1447.

Yeh J, Wactawski-Wende J, Shelton JA, et al. Temporal trends in the rates of trial of labor in low-risk pregnancies and their impact on the rates and success of vaginal birth after cesarean delivery. Am J Obstet Gynecol. 2006;194(1):144.

Sen S, Malik S, Salhan S. Ultrasonographic evaluation of lower uterine segment thickness in patients of previous cesarean section. Int J Gynecol Obstet. 2004;87(3):215–219. doi: 10.1016/j.ijgo.2004.07.023.

. Jastrow N, Chaillet N, Roberge S, Morency AM, Lacasse Y, Bujold E. Sonographic lower uterine segment thickness and risk of uterine scar defect: a systematic review. J ObstetGynaecol Can 2010; 4: 321-327.

Bujold E, Jastrow N, Simoneau J, Brunet S, Gauthier RJ. Prediction of complete uterine rupture by sonographic evaluation of the lower uterine segment. Am J ObstetGynecol 2009; 201: 320.e1-6.

Bretelle F, Carvello L, Shojai R, Roger V, D′ercole C, Blanc B. Vaginal birth following two previous caesarean sections. Eur J ObstetGynecolReprodBiol 2001; 94 :23-26.

Coleman BG, Arger PH, Grumbach K, Menard MK, Mintz MC, Allen KS, et al. Transvaginal and transabdominal sonography: prospective comparison. Radiology 1988; 168 :639-643.

Qureshi B, Inafuku K, Oshima K, Masamoto H, Kanazawa K. Ultra-sonographic evaluation of lower uterine segment to predict the integrity and quality of caesarean scar during pregnancy: a prospective study. Tohoku J Exp Med 1997; 83 :55-65.

Cheung VY. Sonographic measurement of the lower uterine segment thickness in women with previous caesarean section. J ObstetGynaecol Can 2005; 27 :674-681

Kushtagi P, Garepalli S. Sonographic assessment of lower uterine segment at term in women with previous cesarean delivery. Arch GynecolObstet 2011; 283 :455-459

Gotoh H, Masuzaki H, Yoshida A, Yoshimura S, Miyamura T, Ishimaru T. Predicting incomplete uterine rupture with vaginal sonography during the late second trimester in women with prior caesarean. ObstetGynecol 2000; 95 :596-600

Ofili-Yebovi D, Ben-Nagi J, Sawyer E, Yazbek J, Lee C, Gonzalez J, Jurkovic D. Deficient lower-segment Cesarean section scars: prevalence and risk factors. Ultrasound ObstetGynecol 2008; 31 :72-77.

Hebisch G, Kirkinen P, Haldemann R, Pääkköö E, Huch A, Huch R. Comparative study of the lower uterine segment after Cesarean section using ultrasound and magnetic resonance tomography. Ultraschall Med 1994; 15 :112-116.

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Published

2022-03-26

How to Cite

Hawez, F. N. ., Jawad, A. K. ., & Sabir, M. A. . (2022). Sonographic assessment of lower uterine segment thickness preoperative vs. intraoperative assessment in women with previous cesarean. Iraq Medical Journal, 6(1), 21–25. https://doi.org/10.22317/imj.v6i1.1163

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