The Relationship between Caesarean Scar Defect Ultrasound Measurements and Post-menstrual Spotting (RMT/AMT as a Powerful Predictor of Niche); A prospective Cohort Study

Document Type : Original Article

Authors

1 Obstetrics and Gynecology Department, Faculty of Medicine, Zagazig University

2 Obstetrics and Gynecology Department, Faculty of Medicine- Zagazig University, Egypt.

3 Obstetrics and Gynecology Department, El- Qenayat central hospital

Abstract

Background: There is an increase in the prevalence of intermittent post menstrual spotting in women with previous one or more cesarean section with no sufficient study about the association between cesarean scar defect, cesarean scar defect ultrasound measurement and post menstrual bleeding, so this study is conducted to assess this association. So we aimed to evaluate the relationship between the caesarean scar defect ultrasound measurement and post menstrual spotting in women with previous Cesarean section.

Methods: The current prospective cohort study was conducted in obstetrics and gynecology outpatient & fetal medicine unit at Zagazig University Hospital on 48 Patients, who had a previous caesarean section and complained of unexplained abnormal uterine bleeding. All patients were evaluated clinically as well as by transvaginal ultrasound. Cesarean scar niche assessed by transvaginal sonography (TVS) with measurement of niche dimensions (length, depth, width and residual myometrium thickness)

Results: We found a significant good positive correlation between menstrual duration, width, depth, and spotting and a significant good negative correlation between residual myometrium thickness (RMT) and spotting, and a weak negative correlation between adjacent myometrial thickness (AMT) and spotting. There was a significant positive correlation between dysmenorrhea, dyspareunia, PID, Subfertility and spotting. And a significant week positive correlation between dysuria and spotting. And a significant week negative correlation between menstrual regularity and spotting.

Conclusion: Caesarean scar defect ultrasound measurements could be used for prediction of post-menstrual spotting

Keywords

Main Subjects

Zagazig University Medical Journal
Volume 30, Issue 8
November 2024
Pages 4736-4743

Files

Share

How to cite

Statistics