Frequency and associated symptoms of isthmoceles in women 6 months after caesarean section: a prospective cohort study.
Caesarean scar defect
Isthmocele
Myometrial niche
Postpartum
Journal
Archives of gynecology and obstetrics
ISSN: 1432-0711
Titre abrégé: Arch Gynecol Obstet
Pays: Germany
ID NLM: 8710213
Informations de publication
Date de publication:
03 2023
03 2023
Historique:
received:
09
06
2022
accepted:
10
10
2022
pubmed:
10
11
2022
medline:
8
3
2023
entrez:
9
11
2022
Statut:
ppublish
Résumé
The purpose of this study was to determine the frequency of detection of isthmoceles by ultrasound 6 months after caesarean section (CS) and which symptoms associated with isthmocele formation occur after CS. Subsequently, it was determined how often the ultrasound finding "isthmocele" coincided with the presence of complaints. A prospective multicentre cohort study was conducted with 546 patients from four obstetric centres in Berlin, who gave birth by primary or secondary CS from October 2019 to June 2020. 461 participants were questioned on symptoms 3 months after CS; 329 participants were included in the final follow-up 6 months after CS. The presence of isthmoceles was determined by transvaginal sonography (TVS) 6 months after CS, while symptoms were identified by questionnaire. Of the 329 women, 146 (44.4%) displayed an isthmocele in the TVS. There was no statistically significant difference in the manifestation of symptoms between the two groups of women with and without isthmocele; however, when expressed on a scale from 1 to 10 the intensity of both scar pain and lower abdominal pain was significantly higher in the set of women that had shown to have developed an isthmocele (p = 0.014 and p = 0.031, respectively). The prevalence of isthmoceles 6 months after CS was 44.4%. Additionally, scar pain and lower abdominal pain were more pronounced when an isthmocele was also observed in the TVS. Trial registration number DRKS00024977. Date of registration 17.06.2021, retrospectively registered.
Identifiants
pubmed: 36350429
doi: 10.1007/s00404-022-06822-8
pii: 10.1007/s00404-022-06822-8
pmc: PMC9644016
doi:
Banques de données
DRKS
['DRKS00024977']
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
841-848Informations de copyright
© 2022. The Author(s).
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