Scoping review of the evaluation of lower uterine segment thickness and trial of labour after caesarean section

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dc.contributor.authorElegbua, Callistus O.en_US
dc.contributor.authorElegbua, Angela A.en_US
dc.contributor.authorDoneh, Harold Y.en_US
dc.contributor.authorAdekanye, Emmanuel A.en_US
dc.contributor.authorAni, Vincent C.en_US
dc.contributor.authorOvbiagele, Oiseremen S.en_US
dc.contributor.authorNwagha, Uchennaen_US
dc.date.accessioned2024-09-24T09:09:22Z
dc.date.available2024-09-24T09:09:22Z
dc.date.issued2024-08
dc.description.abstractThe fact that the integrity of the lower uterine segment (LUS) has not been routinely evaluated sonographically before deciding on the mode of delivery after caesarean section has deemed it fit that the lower uterine segment thickness (LUST) should be assessed. The authors carried out a scoping review in October 2023. Four databases were searched for peer reviewed articles that discussed evaluation of LUST and TOLAC. The year of publication, primary author抯 country of origin, sample size, study design, gestational age at ultrasonographic assessment, scanning route and key findings were extracted from the included articles. The articles identified were 625 while 250 were screened after removing duplicates and finally 30 articles were included in the review. The first authors of the included articles originated from 10 different countries and 30% of them were Indians. The most frequently used study designs in the articles were prospective cohort studies (63.3%). Majority of the key findings were as follow: Ultrasonography is the best modality for LUS assessment, LUST measurement is more reliable through vaginal scan; maternal age, body mass index and pregnancy related factors affect LUST and LUST of ?3.5 mm at term is safe for TOLAC. Maternal socio-demographic characteristics and past obstetric history affect the LUST and success of TOLAC. Ultrasonographic evaluation of the LUST at term is safe, needed before TOLAC and more reliable when conducted through vaginal route. The LUST influences the pregnancy outcome during TOLAC and a LUST cut-off value of ?3.5 mm is safe for TOLAC.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynaecology, David Umahi Federal University Teaching Hospital, Uburu, Ebonyi State, Nigeriaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynaecology, David Umahi Federal University Teaching Hospital, Uburu, Ebonyi State, Nigeriaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynaecology, Nigerian Navy Reference Hospital, Calabar, Cross River State, Nigeriaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynaecology, Federal Teaching Hospital, Ido Ekiti, Ekiti, Nigeriaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynaecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeriaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital Ituku Ozalla, Enugu State, Nigeriaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital Ituku Ozalla, Enugu State, Nigeriaen_US
dc.identifier.citationElegbua Callistus O., Elegbua Angela A., Doneh Harold Y., Adekanye Emmanuel A., Ani Vincent C., Ovbiagele Oiseremen S., Nwagha Uchenna . Scoping review of the evaluation of lower uterine segment thickness and trial of labour after caesarean section . International Journal of Reproduction, Contraception, Obstetrics and Gynecology . 2024 Aug; 13(8): 2207-2214en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/232753
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber8en_US
dc.relation.volume13en_US
dc.source.urihttps://doi.org/10.18203/2320-1770.ijrcog20242103en_US
dc.subjectEvaluationen_US
dc.subjectLower uterine segment thicknessen_US
dc.subjectTrial of labour after caesarean sectionen_US
dc.subjectReviewen_US
dc.titleScoping review of the evaluation of lower uterine segment thickness and trial of labour after caesarean sectionen_US
dc.typeJournal Articleen_US
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