TY  - JOUR
A1  - Al Naimi, Ammar
A1  - Mouzakiti, Niki
A1  - Hondrich, Marie
A1  - Louwen, Frank
A1  - Bahlmann, Franz
T1  - The B-mode sonographic evaluation of the post-caesarean uterine wall and its methodology: a study protocol
T2  - The journal of obstetrics and gynaecology research
N2  - Aim: The aim of this study is to utilize the niche measurement guidelines outlined by Jordans et al. in order to establish normal values and accurate description of caesarean section scars in a normal population. After defining the normal distribution, abnormal pregestational scar characteristics will be identified for predicting adverse pregnancy outcomes. Methods: This is a prospective observational multicenter clinical study where women with a history of only one caesarean section and yet open family planning are enrolled. The uterine length, cervical length, niche length, niche depth, niche width, residual myometrial thickness, endometrial thickness, scar to internal os distance, anterior myometrial thickness superior and inferior to the scar and the posterior myometrial thickness opposite the scar, superior and inferior to it are measured in a pregestational uterus. The lower uterine segment is measured over a length of 3 cm during subsequent pregnancy and followed up until delivery. Results: Data from 500 patients will yield normal distribution curves for all predefined measurements. Establishing a correlation between deviations from the normal measures and adverse events would be instrumental for counseling women regarding subsequent pregnancy and mode of delivery.
Conclusion: This study will demonstrate the changes of the post-caesarean scar from a non-pregnant uterus until delivery and can confirm the importance of the scar characteristics in predicting pregnancy outcome.
KW  - caesarean scar
KW  - caesarean section
KW  - post-caesarean uterus
KW  - sonography
KW  - uterine wall
Y1  - 2020
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/62162
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-621621
SN  - 1447-0756
N1  - This work was supported by the Dr. Senckenbergische Stiftung, Frankfurt am Main.
VL  - 46
IS  - 12
SP  - 2547
EP  - 2551
PB  - Wiley-Blackwell
CY  - Oxford
ER  -