ASSOCIATED RISK FACTOR FOR DEVELOPMENT OF POST CAESAREAN SECTION SCAR DEFECT -A PROSPECTIVE STUDY

Abstract

Objective: To find out  assoiated risk factor for development of post casesarean scar defect.

Methods: This was hospital based prospective study conducted in the Department of Obstetrics & Gynaecology, SMS Medical College & Attached Group of Hospitals, Jaipur from 1^st May 2019 to 31^st May 2020. 100 women were recruited either before caesarean delivery in case of elective surgery or within 3 days after the operation in case of emergency caesarean delivery. Women age more than 18 yrs, post caesarean section and giving consent were included in the study. All data were analyzed by Epi-info software.

Results: Mean age of women who had niche was 27.84 ± 51 yrs and those without niche was 26.55 ± 2.72 yrs (p=0.04) i.e. increasing age was associated with increased chance of development of niche, while gestational age was not associated with niche formation. GDM (p=0.04) and higher birth weight (p<0.01) is associated with niche formation while emergency LSCS, induction of labour, PROM, multiple pregnancy was not associated risk factors in our study. Increasing number of previous LSCS were significantly (p<0.001) associated with niche formation.

Conclusion:  History of previous caesarean delivery was main independent risk factor for niche formation. Other risk factors identified were GDM, before caesarean delivery, increasing age of mother and high birth weight of baby

Keywords: Risk factor, Caesarean, Niche formation.