Assessment of Uterine Scar after Modified double versus Double Layer Closure of the Uterus

Abstract

The caesarean delivery rate is increasing worldwide. Several studies have shown that one caesarean section implies a high risk for caesarean section in the next pregnancy. Repeat caesarean section, is associated with an increased risk for uterine rupture, abnormal placental implantation, placental abruption and uterine scar dehiscence in subsequent pregnancies. Traditionally, closure of the uterine incision has been in two layers, although in the past decade an increasing number of obstetricians have moved to single layer closure due to advantage of shorter operative time and decreased blood loss. Modified two layer closure is consists of full thickness closure by interrupted horizontal mattress sutures in first layer followed by a continuous running suture in the second layer. To assess the healing of scar and the risk of uterine rupture in a subsequent pregnancy, ultrasonography is used in the evaluation of uterine scar. It is generally been found that, the thicker the uterine scar, the lower the rate of complications. Aim of the study The aim of the current study was to assess the Uterine Scar thickness after Modified Double versus Double Layer Closure of the Uterus 6months postpartum.