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

Afshan Riaz; Rubina Mushtaq; Nadia Jabeen; Maryam Bhatti

doi:10.71104/jsogp.v15i4.959

Afshan Riaz Post graduate Trainee, Rawal institute of health sciences Islamabad afshanriaz2228@gmail.com
Rubina Mushtaq Head of Dept of Gynae Dept, Rawal Institute of Health Sciences, Islamabad
Nadia Jabeen Associate Professor, Dept of Obs and Gynae, Rawal Institute of Health Sciences Islamabad
Maryam Bhatti Postgraduate trainee, Dept of Obs and Gynae, Rawal Institute of Health Sciences Islamabad

DOI: https://doi.org/10.71104/jsogp.v15i4.959

Keywords: Uterine scar dehiscence, repeat c-section

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.