Association of Caesarean Uterine Scar Health in Women with Previous One Caesarean Section in Relation to Inter- Pregnancy Interval

Abstract

Background:To find out safe inter pregnancy
interval in patients with previous one caesarean
section and promote trial of labour after caesarean
(TOLAC) .
Methods: In this descriptive study one hundred
and fifty patients with singleton pregnancy and
previous one caesarean section, who were planned
for elective caesarean section, between 37-40 weeks,
were included. Patients with multiple pregnancies,
ruptured uterus, failure of TOLAC, multiple
caesarean sections and preterm pregnancies were
excluded. Visual uterine scar health was assessed
per operatively in relation to different inter
pregnancy intervals. Scar health was categorized as
healthy or thick, thin, transparent and partial
dehiscence. .
Result:Patients, with inter- pregnancy interval of
12-18 months, had a high (69.6%) healthy scar. In
patients with inter-pregnancy interval of 19-24
months, 76.9% scars were healthy. The group of
patients whose inter pregnancy interval was more
than 24 months, 71.8% scar were healthy
Conclusion: When intra operative visual scar
health was assessed in relation with inter pregnancy
interval. No significant difference was found in
uterine scar health in different inter pregnancy
intervals.