Can the final sonographic assessment of the cesarean section scar be predicted 6 weeks after the operation?

Objective: The aim of the study was to compare the sonographic characteristics of the cesarean section (CS) scar 6 weeks and 6 months after operation. We tested the hypothesis that the dehiscence risk coefficient (DRC) measured 6 weeks and 6 month after CS does not change. Materials and Methods: A p...

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Main Authors: Erik Dosedla, Pavel Calda
Format: Article
Language:English
Published: Elsevier 2016-10-01
Series:Taiwanese Journal of Obstetrics & Gynecology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S102845591630136X
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author Erik Dosedla
Pavel Calda
author_facet Erik Dosedla
Pavel Calda
author_sort Erik Dosedla
collection DOAJ
description Objective: The aim of the study was to compare the sonographic characteristics of the cesarean section (CS) scar 6 weeks and 6 months after operation. We tested the hypothesis that the dehiscence risk coefficient (DRC) measured 6 weeks and 6 month after CS does not change. Materials and Methods: A prospective longitudinal study was conducted in 43 primiparous women delivered by CS. The thickness of the myometrium proximal and distal to the CS scar, and the thickness of the CS scar were measured transvaginally. The severity of the CS scar defect was evaluated using the DRC. Results: The cut-off value (5th percentile) for the CS scar thickness and for DRC was 3.0 mm and 0.25, respectively. Statistical analysis revealed a significant correlation between DRC 6 weeks and 6 months after CS (correlation coefficient r = 0.97). Conclusion: DRC can describe the defect of the CS scar adequately by the end of the puerperium.
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spelling doaj.art-6c854a080355443280c71bd08eae259d2022-12-22T02:35:19ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592016-10-0155571872010.1016/j.tjog.2015.07.006Can the final sonographic assessment of the cesarean section scar be predicted 6 weeks after the operation?Erik Dosedla0Pavel Calda1Department of Obstetrics and Gynecology, P. J. Safarik University, 1st Private Hospital Košice-Šaca Incorporation, Košice-Šaca, Slovak RepublicDepartment of Gynecology and Obstetrics, First Faculty of Medicine and General Teaching Hospital, Charles University, Prague, Czech RepublicObjective: The aim of the study was to compare the sonographic characteristics of the cesarean section (CS) scar 6 weeks and 6 months after operation. We tested the hypothesis that the dehiscence risk coefficient (DRC) measured 6 weeks and 6 month after CS does not change. Materials and Methods: A prospective longitudinal study was conducted in 43 primiparous women delivered by CS. The thickness of the myometrium proximal and distal to the CS scar, and the thickness of the CS scar were measured transvaginally. The severity of the CS scar defect was evaluated using the DRC. Results: The cut-off value (5th percentile) for the CS scar thickness and for DRC was 3.0 mm and 0.25, respectively. Statistical analysis revealed a significant correlation between DRC 6 weeks and 6 months after CS (correlation coefficient r = 0.97). Conclusion: DRC can describe the defect of the CS scar adequately by the end of the puerperium.http://www.sciencedirect.com/science/article/pii/S102845591630136Xcesarean sectioncesarean section scardehiscence risk coefficientultrasounduterus
spellingShingle Erik Dosedla
Pavel Calda
Can the final sonographic assessment of the cesarean section scar be predicted 6 weeks after the operation?
Taiwanese Journal of Obstetrics & Gynecology
cesarean section
cesarean section scar
dehiscence risk coefficient
ultrasound
uterus
title Can the final sonographic assessment of the cesarean section scar be predicted 6 weeks after the operation?
title_full Can the final sonographic assessment of the cesarean section scar be predicted 6 weeks after the operation?
title_fullStr Can the final sonographic assessment of the cesarean section scar be predicted 6 weeks after the operation?
title_full_unstemmed Can the final sonographic assessment of the cesarean section scar be predicted 6 weeks after the operation?
title_short Can the final sonographic assessment of the cesarean section scar be predicted 6 weeks after the operation?
title_sort can the final sonographic assessment of the cesarean section scar be predicted 6 weeks after the operation
topic cesarean section
cesarean section scar
dehiscence risk coefficient
ultrasound
uterus
url http://www.sciencedirect.com/science/article/pii/S102845591630136X
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