Lower Uterine Segment Thickness, Trans Abdominal Ultrasound, Transvaginal Ultrasound
Conditions
Brief summary
aims to determine the accuracy of measurement of the LUS thickness by trans-abdominal and transvaginal ultrasound at term pregnancy in comparison to the actual thickness of LUS measured with manual caliper measurement during cesarean delivery. Study hypothesis: In women with previous cesarean delivery, determination of the LUS thickness can be done by trans-abdominal and transvaginal ultrasound at term pregnancy and compared to the actual thickness of LUS measured with a manual caliper at cesarean delivery. Study question: considering transabdominal & transvaginal ultrasound, which of them would be more accurate in the assessment of LUS thickness?
Interventions
Within a week before scheduled delivery,antepartum transabdominal and transvaginal ultrasound will be performed with moderately full bladder.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age (20:40 years old). * Women at term (37:40 weeks). * With singleton pregnancy. * Presenting by vertex (cephalic presentation). * Having adequate liquor. * Previous delivered by cesarean delivery one time.
Exclusion criteria
* Fetal malformations, e.g fetal hydrops. * Uterine malformations, e.g bicornuate uterus. * Placental malformations, e.g placenta praevia, placenta accrete. * Uterine surgery is other than a cesarean, e.g myomectomy. * Women in labor (painful, regular uterine contractions, cervical dilatation, tender scar, and discomfort is not stopped by sedation). * Obese patients (BMI \>30 kg/m2)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| accuracy test for measuring | 1 week | The accuracy of measurement of the LUS thickness by trans-abdominal and transvaginal ultrasound at term pregnancy in comparison to actual thickness of LUS measured with manual caliper at cesarean delivery. |
Countries
Egypt