Intra-Operative Uterine Scar Dehiscence and Its Relation to Feto-maternal Outcome in Patients of Previous Lower Segment Cesarean Section with Scar Tenderness

Saima Jabeen; Aiza Sajjad; Zanib Mehboob Warraich; Summera Aslam; Shazia Zulfiqar; Shabnam Tahir

doi:10.71104/jsogp.v15i4.971

Saima Jabeen Associate Professor of Obstetrics & Gynecology Amna Inayat Medical College, Lahore Ex Assistant Professor Shalamar Medical Dental College
Aiza Sajjad Postgraduate Resident of Obstetrics & Gynecology Shalamar Hospital, Lahore
Zanib Mehboob Warraich Postgraduate Resident Amna Inayat Medical College, Lahore, 4Professor Khawaja Safdar Medical College, Sailkot
Summera Aslam Senior Registrar of Obstetrics & Gynecology Shalamar Hospital, Lahore,
Shazia Zulfiqar Senior Registrar of Obstetrics & Gynecology Shalamar Hospital, Lahore
Shabnam Tahir Professor of Obstetrics and gynecology, Central Park Medical College, Lahore

DOI: https://doi.org/10.71104/jsogp.v15i4.971

Keywords: Repeated C-section, Scar dehiscence

Abstract

Objective: To determine frequency of scar dehiscence and its association with feto-maternal outcomes among patients undergoing repeat lower segment cesarean section (LSCS) with scar tenderness.

Methodology: A descriptive case series study was done at Obstetrics and Gynae department, Amna Inayat Medical College (AIMC) Lahore from December 2024 to May 2025. Women aged 20 to 40 years, >37 weeks with history of previous cesarean section delivery undergoing repeat LSCS due to scar tenderness were included. Patients were evaluated intraoperatively for scar dehiscence. Additionally, fetal and maternal outcomes were observed and compared based on the presence or absence of scar dehiscence. Data was analyzed by SPSS version 22.

Results: Overall mean age and mean gestational age of the patients was 30.0 ± 6.196 years and 38.97 ± 1.287 weeks respectively. Average BMI was 26.43 ± 2.551 kg/m². Overall, scar dehiscence was observed in 22 (19.1%) patients and was significantly associated with pulmonary complications, urinary complications, blood transfusion requirements, and meconium-stained liquor (p < 0.05), while no statistically significant association was found with Apgar score (p > 0.05).

Conclusion: Scar dehiscence was observed in 19.1% of patients undergoing repeat lower segment cesarean section with scar tenderness and was significantly associated with adverse feto-maternal outcomes.