Association between urgency of caesarean birth and caesarean scar defects: prospective study


Objective. The aim of this study was to evaluate the association between the urgency of caesarean delivery and uterine wound healing.
Materials and Methods. This double centre prospective clinical trial was conducted between February 2020 and December 2020 in Ain Shams University Maternity Hospital and Misr University for Science and Technology Hospital, Egypt, involving 67 eligible pregnant women undergoing primary CS who were further subdivided into 2 groups according to the urgency of caesarean delivery (CD). The primary outcome was the incidence of caesarean scar defect (CSD) 3 months after CD as assessed by saline contrast sonohysterography (SCSH).
Results. All women underwent emergency CD had CSD on SCHG assessment three months following CS compared to 74.4% of women underwent elective CD, (P-value = 0.011). Moreover, the healing ratio was significantly higher in women underwent elective CD.
Conclusions. Emergency CS was associated with higher incidence of CS scar defects and had poorer healing process 3 months after primary CS as assessed by SCSH as compared to elective caesarean deliveries.

Table of Content: Vol. 35 (No. 4) 2023 December

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