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ANALYSIS OF ABDOMINAL ULTRASONOGRAPHY FOR PREDICTION OF SCAR DEHISCENCE IN FEMALES WITH PREVIOUS CESAREAN SECTION

Noor ul Aein Arshad, Iqra Khan, Faryal Jamil

Introduction: Cesarean section (CS) rates are increasing worldwide. As a result, women presenting with pregnancy with previous CS are also rising. Objectives of the study: The basic objective of the study is to analyse the abdominal ultrasonography for prediction of scar dehiscence in females with previous cesarean section. Methodology of the study: This cross sectional study was conducted in Sheikh Zayed Medical College Raheem Yar Khan during 2018 to 2019. The data was collected from 150 patients. Females of age: 20 - 40 years with parity <5, presenting at gestational age>37weeks with history of previous one delivery through cesarean section and planned to undergo delivery through elective cesarean section under spinal anesthesia were included in this study. The data was collected through a questionnaire. Demographic information (name, age, gestational age, BMI, parity) was also obtained. Then females undergo transabdominal ultrasonography by a single senior radiologist. Females were labeled as positive or negative for scar dehiscence. At time of delivery, uterine scar was assessed and scar dehiscence was confirmed. Results: The data were collected from 160 patients. The mean age of the patients was 30.22±6.33 years with minimum and maximum ages of 20 & 40 years respectively. The mean value of gestational age of the patients was 38.81±0.740 weeks with minimum and maximum gestational ages of 38 & 40 weeks respectively. The mean value of BMI of the patients was 24.22±3.321 kg/m2 with minimum and maximum BMI values of 18.60 & 29.83 kg/m2 respectively. The patients with age ≤ 30 years, the sensitivity, specificity and diagnostic accuracy of scar dehiscence on USG was 93.75%, 97.78% & 96.10% respectively taking cesarean section as gold standard. Conclusion: It is concluded that trans abdominal ultrasonography is a useful and reliable method having high value of diagnostic accuracy for prediction of scar dehiscence in females with history of cesarean.

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