THE PREDICTIVE VALUE OF ULTRASONOGRAPHIC ASSESSMENT OF LOWER SEGMENT SCAR INTEGRITY IN PATIENT WITH PREVIOUS CAESAREAN SECTION NEAR TERM | ||
| Zagazig University Medical Journal | ||
| Article 9, Volume 20, Issue 4, July 2014, Pages 1-8 PDF (1.18 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/zumj.2014.4412 | ||
| Authors | ||
| Ahmed Azeem1; Doaa Ibrahim1; Sheen Shazely2 | ||
| 1Diagnostic radiology Departments, Zagazig University. | ||
| 2obstetrics & gynecology Departments, Zagazig University. | ||
| Abstract | ||
| Purpose: to determine the predictive value of trans-abdominal (TA) US in assessing thickness of lower uterine segment by measuring lower uterine segment (LUS) scar thickness at term in patient with previous CS. Patient and methods: This study was carried out as tool- assessment cross-sectional case study on pregnant females, who had previous cesarean section at 36-40W of gestation and planning for elective CS. LUS thickness measured by TAUS and measured by the surgeon after labour using a sterile vernier caliper. The sensitivity, specificity, positive and negative predicted values of the TAUS measurement was determined. Results: eighty nine women were studied at a mean gestational age of 38.5±0.59weeks. With cut-off value equal to or less than 2.4 mm , the sensitivity, specificity, positive and negative predicted values were 90%, 100%, 100%, and 98.7%, respectively. Conclusion: LUS measurement is a useful clinical tool in the prediction of scar integrity. It should be performed routinely in women who had a previous cesarean before labour. | ||
| Keywords | ||
| cesarean section(CS); lower uterine segment (LUS); trans-abdominal ultrasound (TAUS). scar thickness | ||
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