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RMJ. 2013; 38(4): 401-403


Clinical significance of uterine scar tenderness in predicting strength of scar in ladies with previous lower segment cesarean section

Safia Khalil, Nighat Shaheen, Palwasha Maria Iftikhar.

Abstract
Objective: To determine the clinical significance of uterine scar tenderness in predicting strength of scar in patients with lower segment cesarean section
Materials & methods: The study was conducted at Cantonment General Hospital Rawalpindi from 1st Jan 2012 to 31st Jan 2013. It was descriptive study. All pregnant women who had one or more previous cesarean section were eligible for the study. Patients with unknown site of uterine scar were excluded from the study. All patients undergoing repeat lower segment cesarean section (emergency or elective) were assessed for scar tenderness and divided into two groups on the basis of whether scar tenderness was positive or not. The findings were noted on a Performa. Operative findings were noted during surgery. Outcome variables included thinned out lower segment, scar dehiscence and scar rupture.
Results: The sensitivity and specificity of uterine scar tenderness was 86.3 percent and 86.0 percent respectively. Positive predictive value & negative predictive value was found to be 51.3 percent and 97.3 percent respectively.
Conclusion: Uterine scar tenderness was found to be a useful tool in predicting strength of scar in woman with lower segment cesarean section.
Key words: VBAC, TOLAC, scar tenderness, scar thickness.

Key words: VBAC, TOLAC, scar tenderness, scar thickness.


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