Effect of cervical changes on the cesarean scar area and niche formation after preterm and term cesarean sections

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dc.contributor.authorDogru, Sukran
dc.contributor.authorAkkus, Fatih
dc.contributor.authorAtci, Asli Altinordu
dc.contributor.authorErdogan, Kubra Memnune
dc.contributor.authorAcar, Ali
dc.date.accessioned2024-02-23T14:00:10Z
dc.date.available2024-02-23T14:00:10Z
dc.date.issued2023
dc.departmentNEÜen_US
dc.description.abstractObjectiveThe purpose of this study is to assess the scar area and niche formation after cesarean section in women who had preterm or term deliveries and underwent cesarean section at various stages of labor. MethodThis prospective cohort study consists of cases who underwent the first cesarean section for different obstetric reasons. The patients were divided into four groups regarding gestational age and cervical dilatation. After a cesarean section, all patients were called for vaginal ultrasonography control at 12 weeks. The location of the scar and the presence of a niche were evaluated. The residual (RMT), proximal, and distal myometrial thicknesses were evaluated where the scar and niche were located. ResultsA total of 87 cases were included in the study. There was no difference in the prevalence of niche between the groups (p > 0.05). RMT and proximal and distal myometrial thickness were not different between the 37 >= week and 37 < week groups, while RMT and proximal and distal myometrial thickness were significantly lower in women with active labor (p =0.001, p= 0.006, p =0.016). The location of the scar was the isthmus at 37 weeks and above (p= 0.002), it was in the cervical canal in the group below 37 weeks (p= 0.017). ConclusionThe gestational week and cervical changes did not affect the prevalence of the niche. In cases of active labor and preterm deliveries, the CS scar defect was located in the cervical canal; however, in cases of term deliveries, it was located in the isthmic area.en_US
dc.identifier.doi10.1007/s40477-022-00767-z
dc.identifier.issn1971-3495
dc.identifier.issn1876-7931
dc.identifier.pmid36972013en_US
dc.identifier.scopus2-s2.0-85150977816en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.1007/s40477-022-00767-z
dc.identifier.urihttps://hdl.handle.net/20.500.12452/11482
dc.identifier.wosWOS:000952689200001en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringer Int Publ Agen_US
dc.relation.ispartofJournal Of Ultrasounden_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCesarean Scar Defecten_US
dc.subjectNicheen_US
dc.subjectDeliveryen_US
dc.subjectResidual Myometrial Thicknessen_US
dc.titleEffect of cervical changes on the cesarean scar area and niche formation after preterm and term cesarean sectionsen_US
dc.typeArticleen_US

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