Frequency of Uterine Scar Dehiscence during Repeat Cesarean Section with Short Inter Pregnancy Interval

Abstract

Objective: To determine the frequency of uterine scar dehiscence during repeat cesarean section with short inter pregnancy interval (IPI).

Methodology: This descriptive (cross-sectional) study was performed at the Department of Gynecology & Obstetrics, Rawal Institute of Health Sciences (RIHS), Islamabad from December 2023 to June 2024. Patients presenting with singleton pregnancy, gestational age >37 weeks, normal amount of liquor, normal placenta, having one or more previous cesarean sections, vertex presentation and inter pregnancy interval <18 months were included. The scar dehiscence was observed during C-Section in Operation Theater. The data was analyzed using SPSS software version 23.0.

Results: Mean age of total 150 women was 29 ± 2.30 years. Out of all 95(63.3%) patients were multi gravida and 55(36.7%) were grand multi gravida. 93(62%) patients had IPI ≤1 year, while and 57(38%) patients had IPI >1 year. Overall the scar dehiscence was observed among 17 patients (11.3%). Additionally, there was no significant association was found with demographic and obstetric factors (p=>0.05).

Conclusion: The uterine scar dehiscence was observed to be highly frequent (11%), indicating that it remains a notable intraoperative finding in subsequent cesarean section among women with short IP.