Abstract
Objective: To determine the clinical significance noted during surgery. Outcome variables included
of uterine scar tenderness in predicting strength of thinned out lower segment, scar dehiscence and
scar in patients with lower segment cesarean scar rupture.
section (LSCS). Results: The sensitivity and specificity of uterine
Methodology: The descriptive study was scar tenderness was 86.3 percent and 86.0
conducted at Cantonment General Hospital percent, respectively. Positive predictive value
st st Rawalpindi from 1 January 2012 to 31 January and negative predictive value was 51.3 percent
2013.All pregnant women who had one or more and 97.3 percent, respectively.
cesarean section were included in the study. Conclusion: Uterine scar tenderness was found
Patients with unknown site of uterine scar were to be a useful tool in predicting strength of scar in
excluded. All patients undergoing repeat LSCS woman undergoing LSCS. (Rawal Med J
were assessed for scar tenderness and divided 2013;38:401-403 ).
into two groups on the basis of whether scar Key words: VBAC, TOLAC, scar tenderness,
tenderness was positive or not. The findings were scar thickness.
noted on a Performa. Operative findings were
