Importance of hemogram parameters for predicting uterine scar dehiscence
Yazarlar (7)
Yildiz Akdas Reis
Univ Hlth Sci Turkey, Türkiye
Erol Nadi Varli
Univ Hlth Sci Turkey, Türkiye
Dr. Öğr. Üyesi Sadullah Ozkan Univ Hlth Sci Turkey, Türkiye
Murat Levent Dereli
Univ Hlth Sci Turkey, Türkiye
Dr. Öğr. Üyesi Arife AKAY ACEMOĞLU Univ Hlth Sci Turkey, Türkiye
Harun Egemen Tolunay
Univ Hlth Sci Turkey, Türkiye
Yaprak Engin Ustun
Univ Hlth Sci Turkey, Türkiye
Makale Türü Açık Erişim Özgün Makale (ESCI dergilerinde yayınlanan tam makale)
Dergi Adı Journal of the Turkish German Gynecology Association
Dergi ISSN 1309-0399 Dergi Bilgileri (2024)
Dergi Tarandığı Indeksler ESCI
Makale Dili İngilizce Basım Tarihi 03-2024
Kabul Tarihi – Yayınlanma Tarihi 07-03-2024
Cilt / Sayı / Sayfa 25 / 1 / 38–43 DOI 10.4274/jtgga.galenos.2023.2022-11-5
Makale Linki http://dx.doi.org/10.4274/jtgga.galenos.2023.2022-11-5
UAK Araştırma Alanları
Kadın Hastalıkları ve Doğum
Özet
Objective: The pathophysiology of uterine scar dehiscence is not yet clear. The aim of this study was to investigate whether preoperative hemogram parameters can be used as predictive markers of uterine scar dehiscence, thus improving prediction and contributing to management of repeat Cesarean section. Material and Methods: Between 2015 and 2020, 36670 (47.6%) cesarean sections were delivered in our hospital and 16943 of them had a previous Cesarean section. All cases of uterine scar rupture detected during Cesarean section were identified, and a total of 40 patients were included after excluding cases with impairment of the systemic inflammatory response (SIR). Controls consisted of 40 randomly selected, age-and body mass index (BMI)-matched patients, and the groups were compared. Results: Age, BMI, and gravidity were similar (p>0.05). Although the gestational week and Apgar scores were similar between the groups (p>0.05), the birth weight amongst controls was significantly higher than the uterine dehiscence group (p=0.028). Platelet-to-lymphocyte ratio, neutrophil-to-lymphocyte ratio, and other hemogram values were similar in both groups (p>0.05). Mean platelet volume (MPV) in the control group was significantly higher than in the uterine rupture group (p=0.049). Regression analysis found no significant result between hemogram parameters, birth weight, and dehiscence. Conclusion: In this study, which set out to identify predictors of the risk of uterine scar dehiscence with SIR parameters, only the MPV value was lower in the dehiscence group.
Anahtar Kelimeler
"Uterine scar dehiscence" | "Cesarean scar" | "neutrophil-lymphocyte ratio" | "platelet-lymphocyte ratio" | "mean platelet volume"
BM Sürdürülebilir Kalkınma Amaçları
Atıf Sayıları
Scopus 1
Importance of hemogram parameters for predicting uterine scar dehiscence