Relation Between Position of the Uterus (Anteversion or Retroversion Flexion) and Degree of Cesarean Scar Niche
NCT Number: NCT06475924
Status: COMPLETED
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Anteversion of Uterus|Retroflex Uterus|CSD
Interventions: DIAGNOSTIC_TEST: Caesarean scar defect evlauation by ultraosund
Sponsor: Ain Shams University
Sex: FEMALE
Age: ADULT
Enrollment: 86
Study Design: Allocation: NA|Intervention Model: SINGLE_GROUP|Masking: NONE|Primary Purpose: DIAGNOSTIC
Start Date: 2023-10-15
Completion Date: 2024-06-30
Locations: Ain Shams University, Cairo, Egypt

Summary:
This study aims to determine the association between the size of caesarean scar niche and uterine position in childbearing women.

Research hypothesis: There is a relation between uterine position and degree of cesarean scar niche.

Research question: Is there a relation between uterine position and degree of cesarean scar niche?

Primary Outcome Measures: correlation between position of the uterus and large Cesarean Scar defect (CSD), By using transvaginal ultrasound, the uterus will be examined in a mid sagittal plane to evaluate the position of the uterus that will be described as (Anteverted: the uterus tilts forward at the cervix/ Retroverted: the uterus tilts backward at the cervix), which will be correlated to the presence of Large CSD (ratio between the depth (mm) and adjacent myometrial thickness (mm) more than or equal to 0.50), through study completion, up to 6 months
Secondary Outcome Measures: correlation between position of uterus and Residual myometrial thickness, By using transvaginal ultrasound, the uterus will be examined in a mid sagittal plane to evaluate the position of the uterus that will be described as (Anteverted: the uterus tilts forward at the cervix/ Retroverted: the uterus tilts backward at the cervix), and measuring the thickness of the myometrium over the SCD (mm), through study completion, up to 6 months|correlation between position of uterus and Depth, Length, Width of SCD, By using transvaginal ultrasound, the uterus will be examined in a mid sagittal plane to evaluate the position of the uterus that will be described as (Anteverted: the uterus tilts forward at the cervix/ Retroverted: the uterus tilts backward at the cervix), and measure depth (mm) and width (mm) of the Cesarean scar defect, while in transverse plane of the uterus measure length (mm) of the cesarean scar defect., through study completion, up to 6 months|correlation between position of uterus and postmenstrual spotting, By using transvaginal ultrasound, the uterus will be examined in a mid sagittal plane to evaluate the position of the uterus that will be described as (Anteverted: the uterus tilts forward at the cervix/ Retroverted: the uterus tilts backward at the cervix), and correlates to the presence of more than or equal to 2 days of intermenstrual spotting or more than or equal to 2 days of brownish discharge after the end of menstruation if bleeding duration exceeds 7 days (discharge is considered normal if bleeding duration is less than 7 days), through study completion, up to 6 months|correlation between position of uterus and Abnormal Uterine Bleeding (AUB), By using transvaginal ultrasound, the uterus will be examined in a mid sagittal plane to evaluate the position of the uterus that will be described as (Anteverted: the uterus tilts forward at the cervix/ Retroverted: the uterus tilts backward at the cervix), and correlates to the presence of AUB as per Figo guideline as regards frequency (in days), duration (in days), regularity (Regular/irregular) and intermenstrual bleeding, through study completion, up to 6 months|correlation between position of uterus and Pelvic Pain, By using transvaginal ultrasound, the uterus will be examined in a mid sagittal plane to evaluate the position of the uterus that will be described as (Anteverted: the uterus tilts forward at the cervix/ Retroverted: the uterus tilts backward at the cervix), and correlates it to the presence of Dysmenorrhea, Chronic pelvic pain or dyspareunia., through study completion, up to 6 months|correlation between position of uterus and secondary infertility, secondary infertility is defined as inability of a couple to conceive after 1 year of regular, unprotected intercourse., through study completion, up to 6 months