Is scar tenderness a reliable sign of scar complications in labor?

Gaikwad, Harsha; Aggarwal, Pakhee; Bannerjee, Ananya; Gutgutia, Isha; Bajaj, Bindu

doi:10.5455/2320-1770.ijrcog001412

Cited by 5 publications

(11 citation statements)

References 8 publications

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“…They observed scar rupture in 3 (3.8), Scar dehiscence in 9 (11.5), thin scar (<4 mm) but intact in 14 (17.9) and normal scar in 52 (66.7). 2 These findings are consistent with the findings shown in our study.…”

Section: Discussionsupporting

confidence: 83%

“…10% of the obstetric population has experienced prior cesarean delivery globally. 2 Indian women are also facing the similar rate (10.6%). 2 By decreasing the caesarian section on maternal request and repeat cesarean delivery, a check on rising caesarean section (CS) rate can be kept.…”

Section: Introductionmentioning

confidence: 51%

“…2 Indian women are also facing the similar rate (10.6%). 2 By decreasing the caesarian section on maternal request and repeat cesarean delivery, a check on rising caesarean section (CS) rate can be kept. 3 To achieve this, Vaginal Birth after Caesarean Section (VBAC) is considered safer than repeat elective CS in a carefully selected population with improved maternity care and institutional delivery for a previous caesarean section.…”

Section: Introductionmentioning

confidence: 51%

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Intra-operative uterine scar condition and fetomaternal outcome in patients of previous lower segment caesarean section (LSCS) with scar tenderness

Gupta

Sinha²

2017

Int J Res Med Sci

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Background: During past few years, there is increasing trend in trial of labor in cases of previous lower segment caesarian section (LSCS). It needs vigilant approach in identifying signs and symptoms of giving way of previous scar. This study is to see the intra-operative uterine scar condition and feto-maternal outcome in patients of previous LSCS with scar tenderness.Methods: This is a prospective study done in Safdarjung hospital, New Delhi. It includes 120 patients of previous lower segment caesarian section with scar tenderness operated as emergency cases over a period of one year. It excludes elective repeat LSCS.Results: During this period repeat emergency LSCS was done in 862 cases and scar tenderness was seen in 120 cases (13.92 %). Out of 120 cases enrolled for the study intra-operative scar was intact in 69 cases (57.5%). Scar was thinned out in 27 cases (22.5%). Scar dehiscence was found in 21 cases (17.5%). Rupture occurred in 3 cases (2.5%) out of which 2 were Fresh still births. NICU admission was done in 11 cases (9.17%). 1 neonatal death occurred. No maternal death was recorded. Average hospital stay was 6 days. Blood transfusion was needed in 23 cases (19.2%).Conclusions: Scar tenderness is a very important tool for predicting scar integrity. All cases of previous LSCS should have institutional delivery.

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Section: Discussionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 51%

Section: Introductionmentioning

confidence: 51%

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Intra-operative uterine scar condition and fetomaternal outcome in patients of previous lower segment caesarean section (LSCS) with scar tenderness

Gupta

Sinha²

2017

Int J Res Med Sci

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“…Repeat cesarean section is the most common avoidable cause of rising CS rate [3,4] . 10% of obstetric population has history of prior cesarean delivery globally [5] . Indian females are also facing the similar rate (10.6%) [2] .…”

Section: Introductionmentioning

confidence: 99%

Clinical significance of uterine scar tenderness and third trimester sonographic scar thinning in predicting scar complications

Misra¹,

Tahilramani²

2020

Int. J. Clin. Obstet. Gynaecol.

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To determine the clinical significance of uterine scar tenderness and sonographic scar thinning in predicting strength of scar in patients with lower segment cesarean section (LSCS). Method: A prospective study was conducted over a period of one year in the department of Obstetrics and gynecology. Women undergoing LSCS with history of previous one LSCS were assessed for scar tenderness and; their third trimester's sonographic LUS scar thickness detail was noted. They were divided in two groups (A&B) on the basis of whether scar tenderness and/or sonographic scar thinning (< 3.5 mm) were present or not. Findings were correlated with intra-operative scar conditions. Result: Study showed that out of 50 patients of group A, 23 patients had scar complications while 27 patients had no such complications. Out of 47 patients of group B, only 5 had scar complications, while in remaining 42 patients no scar complication was found intra-operatively. Conclusion: Timely done caesarean section in pregnant woman with scar tenderness and/or thin third trimester sonographic scar can definitely bring down the neonatal and maternal morbidity and mortality.

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“…[6] In a a study by Gaikwad H S et al also found out the LSCS scar rupture rate was 3.8% and scar dehiscence rate was 11.5%. [7] Signs and symptoms of previous lower segment caesarean section scar dehiscence…”

Section: Lscs Scar Rupture and Dehiscencementioning

confidence: 99%

Review of lower segment caesarean section scar dehiscence (partial uterine rupture) occurring among women undergoing trial of labour after caesarean at sarawak general hospital, malaysia in 2010

YeeKyaing¹,

Idi²,

Mya³

2017

Int j curr adv res

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Is scar tenderness a reliable sign of scar complications in labor?

Cited by 5 publications

References 8 publications

Intra-operative uterine scar condition and fetomaternal outcome in patients of previous lower segment caesarean section (LSCS) with scar tenderness

Intra-operative uterine scar condition and fetomaternal outcome in patients of previous lower segment caesarean section (LSCS) with scar tenderness

Clinical significance of uterine scar tenderness and third trimester sonographic scar thinning in predicting scar complications

Review of lower segment caesarean section scar dehiscence (partial uterine rupture) occurring among women undergoing trial of labour after caesarean at sarawak general hospital, malaysia in 2010

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