COVID-19 Update - This is to inform you that the Government of India has announced a complete lockdown in India 22nd March 2020 to 14th April 2020. As a result, our offices will now be closed till 14th April 2020 and all our employees will be working from home. Office telephones will not be answered, and therefore you are requested to direct all your queries related to manuscript submission, review process, publication etc. at below mentioned details. editor@innovativepublication.com, rakesh.its@gmail.com, Mob. 8826373757, 8826859373, 9910947804

Article view: 558

Article download: 150

Indian Journal of Obstetrics and Gynecology Research


TRANSVAGINAL ULTRASONIC EVALUATION OF LOWER UTERINE SEGMENT TO PREDICT INTEGRITY OF CAESAREAN SCAR DURING PREGNANCY AND ITS CORRELATION WITH OBSTETRIC OUTCOME


Full Text PDF Share on Facebook Share on Twitter


Author Details : Ankita Kumari, Reena Srivastav, Sangeeta Sahu

Volume : 2, Issue : 1, Year : 2015

Article Page : 7-10


Suggest article by email


Abstract

Objective: To evaluate lower uterine segment thickness by transvaginal ultrasonography (TVS) and its correlation with obstetrical outcome and to derive a critical cut off above which vaginal delivery is safe. Method: A prospective study included 140 antenatal women with history of previous caesarean with gestational age 37-40 weeks in study group and 100 antenatal women without history of any uterine surgery with same profile in control group. Lower uterine segment (LUS) was scanned using TVS. All the women were followed till delivery and further divided into two groups for mode of delivery. Statistical analysis was done by applying chi square test.
Results: Overall vaginal birth after caesarean (VBAC) rate and VBAC success rate was observed as 48.57% and 65.38% respectively. The critical cut-off value for safe lower segment thickness derived from receiver operator characteristic curve was 2.5 mm.
Conclusion: TVS measured thickness of lower uterine segment allows assessment of scar complications and thus safer management of patient.

Key Words: Transvaginal ultrasonography, caesarean section, lower uterine segment, vaginal birth after caesarean

How to cite : Kumari A, Srivastav R, Sahu S, TRANSVAGINAL ULTRASONIC EVALUATION OF LOWER UTERINE SEGMENT TO PREDICT INTEGRITY OF CAESAREAN SCAR DURING PREGNANCY AND ITS CORRELATION WITH OBSTETRIC OUTCOME. Indian J Obstet Gynecol Res 2015;2(1):7-10

Copyright © 2015 by author(s) and Indian J Obstet Gynecol Res. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) (creativecommons.org)