header
Image from OpenLibrary

Transvaginal sonographic assessment of cesarean section scar / Fatma Mohsen Hussien Mohammed ; Supervised Reda Ismail Riad , Khaled Abdelmalek , Hala Abdelwahab

By: Contributor(s): Material type: TextTextLanguage: English Publication details: Cairo : Fatma Mohsen Hussien Mohammed , 2016Description: 118 P. : charts , facsimiles ; 25cmOther title:
  • تقييم جرح القيصرية السابقة بالموجات فوق الصوتية المهبلية [Added title page title]
Subject(s): Available additional physical forms:
  • Issued also as CD
Dissertation note: Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Gynecology and Obstetrics Summary: Methods: The lower uterine segment thickness was measured by transvaginal sonography (36 weeks {u2013} 38 weeks gestation) in 100 pregnant patients divided into four groups each of them contains 25 patients with previous one CS, previous two CS, previous VBAC and multiparas with normal vaginal delivery, for every patient, the mode of delivery was documented. Results: The mean scar thickness as measured by transvaginal sonography is 3.2mm ±0.7 mm. Out of 50 patients studied (group 1&group 3), 15 patients (30%) delivered by Cesarean section while 35 patients (70%) had delivered by VBAC. There was significant correlation between the sonographic measurement of LUS thickness using transvaginal sonography (p value= 0.001).The scar thickness in the third trimester (36-38 weeks) had a significant relation with the mode of delivery. The cut-off value for the thickness of lower uterine segment was 3.0 mm as calculated by the receiver operating characteristic curve .The sensitivity was 82.9% , specificity 93.3% , positive predictive value 96.7% ,negative predictive value 70%. Conclusions: measurement of the lower uterine segment thickness is useful in predicting the cases undergoing TOL after previous CS. If the thickness of the lower uterine segment is more than 3.0 mm, the possibility of successful VBAC is high
Tags from this library: No tags from this library for this title. Log in to add tags.
Star ratings
    Average rating: 0.0 (0 votes)
Holdings
Item type Current library Home library Call number Copy number Status Date due Barcode
Thesis Thesis قاعة الرسائل الجامعية - الدور الاول المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.15.M.Sc.2016.Fa.T (Browse shelf(Opens below)) Not for loan 01010110069914000
CD - Rom CD - Rom مخـــزن الرســائل الجـــامعية - البدروم المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.15.M.Sc.2016.Fa.T (Browse shelf(Opens below)) 69914.CD Not for loan 01020110069914000

Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Gynecology and Obstetrics

Methods: The lower uterine segment thickness was measured by transvaginal sonography (36 weeks {u2013} 38 weeks gestation) in 100 pregnant patients divided into four groups each of them contains 25 patients with previous one CS, previous two CS, previous VBAC and multiparas with normal vaginal delivery, for every patient, the mode of delivery was documented. Results: The mean scar thickness as measured by transvaginal sonography is 3.2mm ±0.7 mm. Out of 50 patients studied (group 1&group 3), 15 patients (30%) delivered by Cesarean section while 35 patients (70%) had delivered by VBAC. There was significant correlation between the sonographic measurement of LUS thickness using transvaginal sonography (p value= 0.001).The scar thickness in the third trimester (36-38 weeks) had a significant relation with the mode of delivery. The cut-off value for the thickness of lower uterine segment was 3.0 mm as calculated by the receiver operating characteristic curve .The sensitivity was 82.9% , specificity 93.3% , positive predictive value 96.7% ,negative predictive value 70%. Conclusions: measurement of the lower uterine segment thickness is useful in predicting the cases undergoing TOL after previous CS. If the thickness of the lower uterine segment is more than 3.0 mm, the possibility of successful VBAC is high

Issued also as CD

There are no comments on this title.

to post a comment.