Assessment of incidence of scar dehiscence in previous cesarean section patients coming to MGM Medical College and hospital, Aurangabad

Abstract

Introduction:

• Uterine dehiscence is considered an incomplete division of the three layers: the perimetrium, myometrium, and endometrium. In contrast to uterine rupture where there is a complete division of all three layers ^[1]. The defect is considered a dehiscence as long as the serosa layer of the uterus stays intact.


• Whereas thinning of Lower Uterine Segment is a subjective visual finding, especially at the scar site.


• Uterine scar dehiscence is a common complication of cesarean delivery, which increases the risk of uterine rupture ^[2]. Complications of uterine dehiscence and scar rupture atprevious scar site are influenced by fetal position, the location of the defect, and the location of the placenta.


• Early complications of LSCS include hematoma, infection, wound dehiscence, and thrombus formation. Long‐term complications include placenta accreta, peritoneal adhesions, infertility, and myometrial thinning with uterine rupture.


• Thus, in this study, we will assess the incidence of scar dehiscence and scar rupture in previous cesarean deliveries.

 Material and methodology:

• Type of Study: Retrospective study


• Study Area: Department of Obstetrics and Gynaecology, MGM Medical College and Hospital, Aurangabad


• Study Period: October 2022 to March 2023


• Sample Size: 300


• Inclusion Criteria
  
  
  
  1. Women who have given consent to participate
  
  
  2. Previous cesearean patients
  
  
  
  


• Exclusion Criteria : None

Results  :

• Incidence of scar dehiscence and rupture was more in patients with more than one cesarean section


• Prediction of scar dehiscence and scar rupture can be made based on clinical findings.

Keywords : scar dehiscence, scar rupture, thinning of Lower Uterine Segment (LUS), previous caesarean, VBAC