ASSOCIATION OF SCAR TENDERNESS WITH SCAR INTEGRITY AT REPEAT CAESAREAN SECTION IN A TERTIARY CARE CENTRE: AN OBSERVATIONAL STUDY

Abstract

BACKGROUND: Caesarean section is an operative process whereby the fetuses after the end of 28 th week are delivered through an incision on the abdominal and uterine wall .This excludes delivery through an abdominal incision where the fetus lying free in the abdominal cavity following uterine rupture or in secondary abdominal pregnancy .The rst operation carried out on a patient is referred to as primary caesarean section .When the operation is carried out in subsequent pregnancies , it is referred to as repeat caesarean section .Caesarean section is used in cases where vaginal delivery is not either feasible or would impose undue risk on mother or baby. AIMS&OBJECTIVE: METHODS: of the study to assess the relationship of scat tenderness with scar integrity at repeat caesarean section. It is a retrospective study, conducted in the admitted patients of Department of Obstetrics and Gynecology, Bundelkhand Medical College, Sagar Madhya Pradesh. The duration of the study from July 2022 to December 2022. During the study pe RESULTS: riod total 130 women were admitted with diagnosis of previous caesarean section with scar tenderness, out of these 88 (66%) had gestational age <37 weeks and on repeat caesarean section scar thinning present in 75(58%) cases. The scar complicat CONCLUSION: ions are highly associated with the intensity of scar tenderness .Hence forth, it can be concluded here that scat tenderness is a vital factor responsible for scar complications