Original Investigation

Importance of Hemogram Parameters for Predicting Uterine Scar Dehiscence

10.4274/jtgga.galenos.2023.2022-11-5

  • Yıldız Akdaş Reis
  • Erol Nadi Varlı
  • Sadullah Özkan
  • Murat Levent Dereli
  • Arife Akay
  • Harun Egemen Tolunay
  • Yaprak Engin Üstün

Received Date: 14.12.2022 Accepted Date: 25.07.2023 J Turk Ger Gynecol Assoc 0;0(0):0-0 [e-Pub] PMID: 37936366

Objective:

The pathophysiology of uterine scar dehiscence has not been revealed yet. This study aimed to investigate whether preoperative hemogram parameters can be used as predictive markers of uterine scar dehiscence, thus improving the prediction and contributing to managing 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 determined, and a total of 40 patients were included by the exclusion criteria that may impair the systemic inflammatory response(SIR). Furthermore, 40 patients were age and BMI-matched, randomly assigned to the control group, 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 control group's birth weight is significantly higher than the uterine dehiscence group (p=.028). PLR, NLR, and other hemogram values were similar in both groups (p>0.05). MPV in the control group was significantly higher than in the uterine rupture group (p=.049). The regression analysis found no significant result between hemogram parameters, birth weight, and dehiscence.

Conclusion:

In this study, which tried to predict the risk of uterine scar dehiscence with SIR parameters, only the MPV value was lower in the dehiscence group.

Keywords: Uterine scar dehiscence, cesarean scar, neutrophil-lymphocyte ratio, plateletlymphocyte ratio, mean platelet volume