Impact of previous cesarean section scar thickness on next pregnancy outcome-Hospital based study in Tikrit city

Abstract

A trial of labour after caesarean should be considered in women who present for prenatal care with a history of previous caesarean birth. In certain situations, a trial labour after C.S will be contraindicated and a repeat caesarean section will be advised but in most, cases, a successiül vaginal birth can be satuy achieved tor both mother and infant. Current study was to identify the role of uterine scar thickness of previous C/S on next pregnancy outcome. A descriptive study of case series were carried from 1st of September 2012 to 30th 1st of August 2013 at Tikrit teaching hospital and 2 private hospitals in Tikrit city. 1 15 pregnant women with previous cesarean section enrolled in the study were followed to study the mode of delivery after C/S and birth out come. Scar thickness was measured by ultrasound and birth weight with Apgar score were done for newborn .Data collected and analyzed by soft wear program. It was found that 50 cases with previous scar from total (115) subjected to vaginal delivery and there was a significant relation between scar thickness of previous C/S and mode of delivery of current pregnancy, also the study result showed that the birth weighi and Apgar score of newborns had a significant relation with mode of delivery. Previous scar thickness plays a role in estimating the
subsequence of ne.xt pregnancy outcome