Diagnostic Accuracy of Lower Uterine Segment Scar Thickness ≤1.6mm in Prediction of Scar Dehiscence in patients

Background: Cesarean section uterine scar dehiscence (CSD) is a rare but notable complication of Lower segment cesarean (LSCS) surgery. The cause for based on the etiology behind defect or any event that would predispose to dehisce. Globally accepted option assessing CS transvaginal ultrasonography non-pregnant uterus. Objective: To determine diagnostic accuracy lower thickness≤1.6mm in prediction patients with previous one LSCS who are undergoing repeat after trial labour taking intraoperative findings as gold standard. Material and methods: This cross sectional study was conducted Services Hospital, Lahore 6 months. Non probability consecutive sampling technique used include women at 36-38 weeks were asked get their TVS done thickness. Women thickness>1.6mm identified. Their confirmed. All data entered analyzed SPSS version 20. Results: mean age 29.87±6.07 years. emergency 599(49.1%) elective 621(50.9%) patients. sensitivity, specificity & 98.31%, 99.05% 98.69% respectively. Conclusion: According our results very useful effective tool Keywords: Transvaginal sonography, TVS, Uterine, Scar, dehiscence, LSCS, Intraoperative