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- W2523302007 abstract "To develop a prognostic model to identify prognostic factors responsible for the development of a niche in the uterine scar. Multivariable logistic regression with multiple imputation of a prospective cohort study performed in a teaching hospital in the Netherlands. 134 women with one previous Caesarean section (CS) were evaluated with sonohysterography 6–12 weeks after the CS. The uterine scar was measured in a standardised way. Outcome: niche evaluated by sonohysterography with a depth of at least 2 mm. Following predictors were evaluated: age, gestational age, birthweight, labour, cervical dilatation, augmentation of labour, induction of labour, failure to progress, closure of uterus, pre-eclampsia, diabetes, hemorrhage, infection (fever, antibiotic use). After multivariable logistic regression and multiple imputation the following prognostic factors were identified: cervical dilatation, labour and induction of labour. Cervical dilatation > 3 cm (OR 8.93 [95% CI 1.89-42.19], cervical dilatation > 7 cm (OR 9.26 [95% ci 1.88-45.94]) and induction of labour (OR 4.76 [95% CI 1.25-18.21] were predictors for developing a niche. Having contractions before Caesarean section resulted in less niches (OR.114 {95% CI .023-.570]). The prognostic model made with these three predictors had an area under the curve of .63. Cervical dilatation of more than 3 cm and induction of labour are predictors for developing a niche in the uterine scar measured with sonohysterography 6–12 weeks after CS." @default.
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- W2523302007 date "2016-09-01" @default.
- W2523302007 modified "2023-09-23" @default.
- W2523302007 title "OC23.05: Risk factors for developing a niche in the uterine Caesarean section scar" @default.
- W2523302007 doi "https://doi.org/10.1002/uog.16139" @default.
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