Diagnostic Accuracy of Transabdominal Ultrasonography for Prediction of Uterine Dehiscence in Females Presenting with a Previous Cesarean Sectio

Authors

  • Author- Kiran Nasir, M. Mutee-us-Salam, Maria Maqsood, Shumaila Maqsood, Rakhshanda Nisa, Qudsia Niazi

Abstract

Objective: To assess the diagnostic accuracy of trans-abdominal ultrasonography for the prediction of uterine dehiscence in females presenting with a previous one cesarean section

Methods

This Cross-sectional study was undertaken in Department of Obstetrics & Gynaecology, Moula Bakhsh DHQ Teaching Hospital Sargodha; Livestock & Dairy Development Department, Government of Punjab. Informed consent was taken from all the patients and demographic information was obtained. The transabdominal ultrasound was performed by a single senior radiologist having 4 years' residency experience. Scar thickness was measured and patients were labeled as positive or negative. Then during surgery, scar thickness was measured. All the collected data was entered and analyzed on SPSS V. 20.

Results

 The mean age of females was 30.45±6.01 years. The mean gestational age was 36.82±1.44 weeks. The sensitivity, specificity and diagnostic accuracy of the TAS was 91.8%, 88.76% and 90% respectively taking intraoperative as gold standard.

Conclusion

 The TAS is useful tool with high accuracy for examination of uterus for uterine dehiscence in females having previous one cesarean delivery

Keywords:

Cesarean Section, Transabdominal, Ultrasonography, Uterine Dehiscence

Published

2022/06/16