Volume 32, Issue 218 (3-2023)
J Mazandaran Univ Med Sci 2023, 32(218): 62-72 |
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Atarod Z, Khalili Savadkouhi S, Alipour A, Banimostafavi E S, Arab R K, Ghasemi Tirtashi M. Risk Factors and Clinical Findings of Isthmocele in Women Undergoing Cesarean Section in Sari Imam Khomeini
Hospital, 2017-2018. J Mazandaran Univ Med Sci 2023; 32 (218) :62-72
URL: http://jmums.mazums.ac.ir/article-1-18151-en.html
URL: http://jmums.mazums.ac.ir/article-1-18151-en.html
Zoliekha Atarod 
, Sepideh Khalili Savadkouhi , Abbas Alipour , Elham Sadat Banimostafavi , Roghaye Khatoon Arab , Maliheh Ghasemi Tirtashi
, Sepideh Khalili Savadkouhi , Abbas Alipour , Elham Sadat Banimostafavi , Roghaye Khatoon Arab , Maliheh Ghasemi Tirtashi
Abstract: (4788 Views)
Background and purpose: Cesarean section (C-section) is associated with high rate of complications, one of the most important of which is bleeding. Isthmocele is one of the causes of bleeding after a C-section. This study was performed to evaluate the risk factors and clinical findings of isthmocele in women undergoing C-section.
Materials and methods: In this cross-sectional study, 200 women with a history of cesarean delivery in Sari Imam Khomeini Hospital (2017-2018) were studied. Demographic information, risk factors, and clinical and ultrasound findings were recorded. Independent t-test and Chi-square were applied for data analysis. Relationship between isthmocele risk factors and its incidence was investigated by multiple logistic regression.
Results: In this study, 57 patients (28.5%) had isthmocele and 143 (71.5%) did not have the problem (P=0.03). According to findings, 100% of patients with isthmocele had dilatation less than 5 cm and 89.7% underwent cesarean in less than five hours since the onset of labor, indicating a significant difference compared to those without isthmocele (P=0.04 and P=0.08, respectively). Number of C-sections was higher in patients with isthmocele (1.9±0.8) than in those without isthmocele (P=0.03). Among the symptoms, there was a significant difference in abnormal uterine bleeding (P=0.02), menometrorrhagia (P=0.01), spotting (P<0.001), and dysmenorrhea (P=0.04) between the groups with and without isthmocele.
Conclusion: Abnormal uterine bleeding was found as the most common symptom and recurrent cesarean was identified as the most important risk factor for isthmocele, which needs to be reduced by health care providers.
Materials and methods: In this cross-sectional study, 200 women with a history of cesarean delivery in Sari Imam Khomeini Hospital (2017-2018) were studied. Demographic information, risk factors, and clinical and ultrasound findings were recorded. Independent t-test and Chi-square were applied for data analysis. Relationship between isthmocele risk factors and its incidence was investigated by multiple logistic regression.
Results: In this study, 57 patients (28.5%) had isthmocele and 143 (71.5%) did not have the problem (P=0.03). According to findings, 100% of patients with isthmocele had dilatation less than 5 cm and 89.7% underwent cesarean in less than five hours since the onset of labor, indicating a significant difference compared to those without isthmocele (P=0.04 and P=0.08, respectively). Number of C-sections was higher in patients with isthmocele (1.9±0.8) than in those without isthmocele (P=0.03). Among the symptoms, there was a significant difference in abnormal uterine bleeding (P=0.02), menometrorrhagia (P=0.01), spotting (P<0.001), and dysmenorrhea (P=0.04) between the groups with and without isthmocele.
Conclusion: Abnormal uterine bleeding was found as the most common symptom and recurrent cesarean was identified as the most important risk factor for isthmocele, which needs to be reduced by health care providers.
Type of Study: Research(Original) |
Subject:
Gynecology and Infertility
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