Ultrasound Evaluation of Changes in Uterine Position after Cesarean Delivery

Abstract

Aim: To detect changes that occurs on uterine position after cesarean section on transvaginal ultrasound examination. Materials and Methods: This case control study was carried out on (216) patients during the period from2018, till 2020. The series was analyzed in three groups: patients who underwent cesareandelivery, patients who were parous but had not undergone cesarean delivery, and patientswho were nulliparous.The axis of the uterus was determined on the transvaginal ultrasound. The uterine axis was categorized as anteverted, anteverted anteflexed, retroverted, retroverted retroflexed, anteverted retroflexed, retroverted anteflexed, and axial. Result: The anteverted retroflexed uterine position was common after CD (29.1% of CD group), rare in parous group (1.3%) and was not seen in nulliparous group. The higher number of anteverted retroflexed uteri in the CD group was statistically significant ( p ≤ 0.001) Conclusion: CD was associated with significant changes in position of uterus whichcan change the uterine flexion angle to a more retroflexedposition.