Comparison of Lower Uterine Segment Thickness among Nulliparous Pregnant Women without Uterine Scar and Pregnant Women with Previous Cesarean Section : Ultrasound Study

Attempts of vaginal delivery in cases with a scar on the uterus after a previous cesarean section are more successful after appropriate psycho-prophylactic preparation during pregnancy. The purpose of the study is to reduce the frequency of repeated cesarean section operations. A comparison was made of the methods of delivery for pregnant women with a scar on the uterus after comprehensive training on an improved program and unprepared pregnant women. A total of 158 women were included in the study. Among them were those who had a cesarean section in history, but not trained for the current childbirth, only 5% gave birth independently. At the same time, women trained under the improved program had independent deliveries in 45.6% of cases (OR 5.813; 95% CI 0.826-40.885). The results confirm the effectiveness of the proposed improvements in the preparation of pregnant women with a scar on the uterus. The intention of such women to give birth through the natural birth canal, formed as a result of preparation, is an important factor for successfully overcoming the difficulties of the delivery process.

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Transvaginal Ultrasonographic Measurement of Lower Uterine Segment in Term Pregnant Patients with Previous Cesarean Section

Open Journal of Obstetrics and Gynecology ◽

10.4236/ojog.2015.511091 ◽

2015 ◽

Vol 05 (11) ◽

pp. 646-653 ◽

Cited By ~ 2

Author(s):

Anitha Thomas ◽

Grace Rebekah ◽

Reeta Vijayaselvi ◽

Ruby Jose

Keyword(s):

Cesarean Section ◽

Lower Uterine Segment ◽

Previous Cesarean Section ◽

Previous Cesarean

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The effect of placental elasticity on intraoperative bleeding in pregnant women with previous cesarean section

Journal of Perinatal Medicine ◽

10.1515/jpm-2019-0448 ◽

2020 ◽

Vol 48 (3) ◽

pp. 217-221 ◽

Cited By ~ 2

Author(s):

Harun Egemen Tolunay ◽

Hasan Eroğlu ◽

Onur Kaya ◽

Dilek Şahin ◽

Aykan Yücel

Keyword(s):

Cesarean Section ◽

Pregnant Women ◽

Real Time ◽

Strain Ratio ◽

Tissue Elasticity ◽

Previous Cesarean Section ◽

Third Trimester ◽

Intraoperative Bleeding ◽

Tissue Elastography ◽

Previous Cesarean

AbstractBackgroundWe aimed to evaluate the efficiency of placental elasticity in predicting the amount of intraoperative bleeding via real-time tissue elastography technique.MethodsPregnant women in the third trimester of pregnancy who had planned delivery via cesarean section due to the recurrent cesareans were enrolled in the research (n = 78). Elastographic measurements of placental tissues of all cases were carried out by real-time elastographic ultrasonography. It is a tissue elastography software (Esaote MyLabSeven) that uses a 8-1-MHz multifrequency AC2541 Probe.ResultsA significant relationship was found between placental elasticity and intraoperative bleeding. There was a significant correlation between alterations in the preoperative and postoperative hemoglobin (Hb) and hematocrit (Hct) levels and placental strain ratio (SR) (P < 0.001, r: 0.831; P < 0.001, r: 0.733, respectively).ConclusionThese findings may reflect an alteration at the tissue elasticity level. We hope that the use of real-time elastographic ultrasonography technique may give an idea about the amount of bleeding during the cesarean section.

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