ArticleAnnals of medicine and surgery (2012)2026
Ultrasound assessment of maternal risk factors for uterine scar dehiscence in repeat cesarean deliveries: a case-control study from Beirut clinic.
Article in Annals of medicine and surgery (2012), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: With rising cesarean delivery rates, uterine scar complications are becoming more common. Uterine scar dehiscence is often asymptomatic and is detected during repeat cesarean delivery, yet it carries risks of uterine rupture and adverse maternal and neonatal outcomes. Identifying maternal predictors and lower uterine segment (LUS) ultrasound measurements is essential in high-cesarean-rate settings, such as Lebanon. Objective: To evaluate maternal and obstetric factors and ultrasonographic LUS measurements associated with uterine scar dehiscence in women undergoing repeat cesarean delivery and to assess neonatal outcomes. Methods: This retrospective case-control study included 221 women who underwent a repeat cesarean delivery in 2023 at a private clinic in Lebanon. Cases ( Results: LUS thickness <3 mm was strongly associated with uterine scar dehiscence (aOR, 13.49; 95% CI, 5.92-30.73; Conclusion: Uterine scar dehiscence is associated with an LUS thickness <3 mm, bleeding during pregnancy, and shorter interdelivery intervals. Antenatal ultrasound assessment may improve risk stratification and outcomes in women with prior cesarean deliveries.
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