Scar Thickness From Previous C Section
Several prospective cohort studies have defined a cut off value for sonographic measurement of the lower uterine segment thickness in pregnant women with a previous cesarean section because the thickness of the uterine wall may predict likelihood of rupture in cases of tolac.
Scar thickness from previous c section. 8 however the ultrasound methodology differs among these studies and therefore the recommended cut off values differ. She said if it is less than 5mm she will go for repeat c section as there might be risk of uterine rupture. Does any of you have any idea about this.
Sonographic evaluation of lus scar and myometrial thickness both with tas and tvs is a safe reliable and non invasive method for predicting the risk of scar dehiscence rupture. Filling defect within the myometrium of the lower uterine segment at the presumed site of previous cs. Meanwhile the lus thickness could be an appropriate predictor for cs scar dehiscence and shorter ga for those women.
Normal delivery scar thickness from previous c section. The lus thickness of 3 9 mm can be used as a cutoff value for the timing of the next cs in pregnant women with two or more previous css. Specific guidelines for tolac after sonographic assessment of women with previous cs are need of the hour.
Thickness of the residual myometrium. Mean scar thickness at 24 28 weeks of gestation in patients who delivered vaginally is 4 8 1 1 mm and in those who had repeat cesarean section is 4 4 1 1 mm p value 0 043. Any detectable myometrial thinning at the cs site.
They used ultrasound to measure the lower part of the uterus which correlates with scar thickness from the previous c section and then followed the women through their deliveries. My gynae asked me to get an ultrasound done for scar thickness from previous csection. I have consulted two good doctors from delhi and they both are not willing to take risks of allowing me to even go uptill 37 weeks.
Ultrasound images of uterine muscle scar after prior cesarean section are better by 3d methods. The marginal value cut off value thick scar which provides the possibility of vaginal birth after previous incision was 3 5 mm.