Scar Dehiscence in Patients Presenting with Scar Tenderness Due to Previous One Cesarean Section

  • Fareeha Khaliq Khan Associate Professor Fatima Memorial Hospital Lahore
  • Sadaf Khurshid
  • Shahnila Zafar Senior Registrar, Fatima Memorial Hospital Lahore
  • Sara Zanaib Senior Registrar, University of Lahore Teaching Hospital.
  • Muhammad Zakria Consultant Surgeon, Wapda Medical Complex, Lahore,
  • Sanam Asif Senior Registrar, University of Lahore Teaching Hospital.
Keywords: Scar Tenderness, Uterine Scar Dehiscence

Abstract

Objective: To determine the frequency of scar dehiscence in patients presenting with scar tenderness due to the previous one cesarean section.
Methodology: It was a descriptive case series study carried out at Unit III, Obstetrics & Gynecology, Fatima Memorial Hospital Lahore. Total duration was 6 months. 160 females were enrolled. Then females underwent ultrasonography for assessment of scar dehiscence. Ultrasound performed by senior consultant radiologist having 4 years residency experience. If scar open and fetus can be viewed, then scar dehiscence labeled. Females of age 20-40 years, parity <5 with singleton pregnancy presenting at 32-40 weeks of gestation (on LMP) with scar tenderness (as per operational definition) due to previous one cesarean section were included in the study. All the collected data was entered and analyzed on SPSS version 20. Frequency and percentage was calculated for qualitative variables including scar dehiscence. Parity was presented as frequency. Data was stratified for age, gestational age, BMI and parity. Post-stratification, chi-square test was applied to compare scar dehiscence in stratified groups. P-value≤0.05 was considered as significant.
Results: In this study, the mean age of the females was 30.77±5.95 years, mean value of gestational age of the females was 35.47±2.27 weeks. In our study, the scar dehiscence was found in 38(23.75%) females.
Conclusion: According to this study the frequency of scar dehiscence in patients presenting with scar tenderness due to previous one cesarean section is 23.75%

Published
2020-03-23
Section
Original Articles