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Corresponding Author

Mohamed Abd El Gwwad Abd El Raouf Abdel Gwwad

Document Type

Original Article

Abstract

Background: In current years, there has been a concerning global rise in the incidence of cesarean section(CS). The majority of pregnant women who seek the care of obstetricians have a history of CS. In addition, prior CS is increasingly recognized as a leading indicator of CS.

Aim and objectives: To evaluate the efficacy of transvaginal ultrasound (TVS) vs transabdominal ultrasonography (TAS) in assessing the thickness of the lower uterine cesarean scar at term in individuals who have undergone multiple CS.

Patients and methods: This was prospective observational research performed on one hundred (100) pregnant females who have a history of prior scar at the Obstetrics and Gynecology Department at Al-Aazhar University Hospital (Al-Hussein) from January 2023 to July 2023.

Results: Our results showed that A mean BMI of 26.92 kg/m2 was observed among patients aged from twenty to thirty-nine years. Avg. GA: 38.24 weeks. With an INR of 1.14, grade I comprised 51.7 percent of the patients, grade II comprised 41.5 percent, and grade III constituted 6.8 percent. A substantial increase in LUS thickness was observed between the two methods (TAS & In terms of age, BMI, parity, & GA, important distinctions existed among the groups.

Conclusion: The measurement of lower uterine segment (LUS) scar thickness is more precisely determined using TVS than TVS and TAS. Evaluation by ultrasonography enables a more accurate valuation of the risk of intrapartum complications in cases attempting VBAC, which may facilitate safer delivery management.

Keywords

Transabdominal sonography; Transvaginal sonography; Lower Uterine Segment Scar at Term; Recurrent ceaserian sections

Subject Area

Obstetrics and Gynecology

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