ULTRASONOGRAPHIC EVALUATION OF LOWER UTERINE SEGMENT THICKNESS IN PREGNANT WOMEN WITH PREVIOUS CESAREAN SECTION: A SYSTEMATIC REVIEW

Abstract

Background:

Nowadays it’s a big problem of lower uterine thickness in pregnant women that causes a lot of problems. Lower uterine segment thickness is a strong predictor for uterine scar defect in women with prior caesarian section. Lower segment cesarean section (LSCS) rates are raising throughout the world. Women with previous one cesarean can undergo either the trial of vaginal birth or elective repeat cesarean section in their next pregnancy. The study aims to assess the diagnostic accuracy of sonographic measurement of lower uterine segment thickness in pregnant women So there we are going to evaluate lower uterine segment thickness in pregnant women sonographically by using transabdominal and transvaginal approaches as well.

Objective: To evaluate lower uterine segment thickness in pregnant women with previous caesarian section by sonography.

Materials and Methods:

An electronic data base search was performed through the searches using PubMed, Google Scholar, international Journal of Gynecology & obstetrics and some other online journals and medical websites with the range from 2000-2021. All studies included in the research was in English language. Articles which had descriptive studies related to sonographic features of lower uterine segment thickness of pregnant women with C-section.

Results:

Research data of 200 patients in all studies showed that Transvaginal ultrasound provided greater reliability in LUS measurements than did transabdominal ultrasound. The use of three-dimensional ultrasound improved significantly the reliability of the LUS muscular thickness measurement obtained transvaginal

Conclusion:

We identified certain sonographic patterns that can accurately shows the lower uterine segment thickness in pregnant women with previous caesarian section.

Keywords: LUS lower uterine segment thickness, Transabdominal and Transvaginal ultrasonography, Pregnancy, Caesarian Section

DOI: 10.7176/JHMN/93-07

Publication date:September 30^th 2021