A women aged 27 yrs, G3P2. Presently, completed 37 weeks of gestation. Previous 2 pregnancies, Elective Caesarean Sections were the fetal and maternal outcomes were good. However, no genuine causes found for performing LSCS in the previous pregnancies. Patient is 5.4 inches tall, CPD ruled out, no breech, no obvious cause, etc. Presently, completed 37 weeks , scan done by a radiologist suggests 3.5 mm thickness of lower segment of uterine wall.
Her cervical length 2.3 cm. Now can we advice for elective caesarean section after completion of 39 weeks or should it be advised earlier to prevent uterine dehiscence? She is not a hypertensive or diabetic. No signs of fetal distress, heart rate 150 per min, no meconium staining of the liquor. What would be the safe thickness of LSUW at 37 weeks to prevent uterine dehiscence? At this stage does inj progesterone help in increasing the cervical…
