Impact of Parity on Early Cesarean Scar Healing
Journal Title: The Egyptian Journal of Hospital Medicine - Year 2018, Vol 71, Issue 2
Abstract
<strong>Background:</strong> with increasing cesarean delivery rate the cesarean scar defects and related consequences should be evaluated. <strong>Aim of the work</strong>: this study aimed to assess impact of parity on cesarean scar wound healing. <strong>Methods</strong>: a prospective observational study was conducted on 51 females with singleton term pregnancy that underwent uncomplicated prelabor primary cesarean section. 6 weeks later they underwent saline hystrosalpingography. Females with medical diseases that can affect the healing process or received medications can affect wound healing as corticosteroids or anticoagulant were excluded. Women used intrauterine device as a contraceptive method inserted during CS, women with any structural uterine abnormality as cervical stenosis or fibroid uterus or with pelvic infection at the time of saline hystrosalpingography were excluded from this study. <strong>Results</strong>: 75% of the primiparous had CS niche, while, 82.9% of the multiparous group had CS defect (p=0.512). The most prevalent shape of CS defect in the participants was the triangular shape (45.1%) followed by irregular defect (31.4%). The anterior myometrial thickness and the residual myometrial thickness were significantly higher among primiparous women with negative correlation between parity, anterior and residual myometrial thickness (rho = - 0.917 and -0.753 respectively). <strong>Conclusion:</strong> parity was associated with significant reduction of both the anterior and residual myometrial thickness.
Authors and Affiliations
Eman Helal
Survey of Awareness of Thyroid Disorders among the Riyadh Population, Central Region of Saudi Arabia
<span>Background: </span><span>Thyroid diseases are among the commonest endocrine disorders worldwide and attention to physical examination findings, combined with selected laboratory and radiologic tools and aids in the...
An Assessment of Knowledge, Attitude and Practice towards Diabetic Retinopathy among General Practitioners of Tabuk City
Background: Diabetic retinopathy (DR) is the leading cause of blindness in the working population. Adherence to screening guideline will help in the prevention of blindness. General practitioners (GPs) are the 1st line i...
Assessment of Oral Metronidazole in Pain Management Post Haemorrhoidectomy
<strong>Background: </strong>Haemorrhoids are a very popular disease. Approximately 50% to 66% of people have problems with haemorrhoids at some point in their lives. The pathophysiology of haemorrhoids is not exactly we...
Ewing`s Sarcoma of Temporal Bone: Case Report
Primary Ewing`s Sarcoma (ES) is a small round tumor, more likely to present in long bones and rarely in skull bones. ES commonly present in the second decade of life, and it is usually treated by multi‐modality inclu...
Comparative Study between Augmentation Skin Mastopexy versus Augmentation Glandular mastopexy after Massive Weight Loss
Background: an increase in the number of massive weight loss patients resulted in increase of body contouring surgery including breast reshaping. Aim of the study: it was to compare two procedures of augmentation skin ma...