Correlation between Blood Glucose Levels on Niche Incidence after Cesarean Section

Authors

  • A. F. S. Desy Handayani Department of Obstetric and Gynecology, Faculty of Medicine, Universitas Sumatera Utara, RSUP H. Adam Malik, Medan, Indonesia https://orcid.org/0000-0003-3950-6626
  • Makmur Sitepu Department of Obstetric and Gynecology, Faculty of Medicine, Universitas Sumatera Utara, RSUP H. Adam Malik, Medan, Indonesia
  • Iman Helmi Effendi Department of Obstetric and Gynecology, Faculty of Medicine, Universitas Sumatera Utara, RSUP H. Adam Malik, Medan, Indonesia
  • Edwin Martin Asroel Department of Obstetric and Gynecology, Faculty of Medicine, Universitas Sumatera Utara, RSUP H. Adam Malik, Medan, Indonesia
  • Binarwan Halim Department of Obstetric and Gynecology, Faculty of Medicine, Universitas Sumatera Utara, RSUP H. Adam Malik, Medan, Indonesia
  • Riza Rivany Department of Obstetric and Gynecology, Faculty of Medicine, Universitas Sumatera Utara, RSUP H. Adam Malik, Medan, Indonesia
  • Edy Ardiansyah Department of Obstetric and Gynecology, Faculty of Medicine, Universitas Sumatera Utara, RSUP H. Adam Malik, Medan, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2023.11029

Keywords:

Cesarean section, Niche, Blood glucose

Abstract

BACKGROUND: Long-term sequelae of cesarean section (CS) is formation of niche in CS surgical scar. Blood glucose involved in wound healing process after CS.

AIM: This study was to find correlation of blood glucose level with niche in CS patients.

METHODS: This research was an observational and analytic study with case series design conducted at Department of Obstetrics and Gynecology, Universitas Sumatera Utara, RSUP H Adam Malik Medan, and Sundari Hospital Medan Starting from July to August 2022. To assess correlation between variables, eta test was used to assess the correlation of blood glucose with incidence of niche. The analysis results were said to be significant if p < 0.05, with 95% CI.

RESULTS: Mean of patients were in 21–29 years (70%), multiparity with 12 patients (40%), aterm gestational age with 30 patients (100%), 16 patients (53.3%) with anteflexion uterus, previous CS 2 times were the majority with 9 patients (30%), and 17 patients (56.7%) were elective CS. Incidence of niche was 63.3%. Triangular were the most found niche with 11 patients (36.7%). Mean of total myometrial thickness, depth of niche, and residual myometrial thickness were 5.23 ± 11.2 mm, 2.44 ± 2.75 mm, and 5.23 ± 11.22 mm, respectively. Mean blood sugar level was 103.3 ± 17.4 mg/dl. From eta analysis, there was no correlation between blood glucose levels post-CS patients using eta test with p = 0.872.

CONCLUSION: There was no significant correlation between blood glucose levels on niche incidence in post-CS patients.

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References

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Published

2023-01-01

How to Cite

1.
Handayani AFSD, Sitepu M, Effendi IH, Asroel EM, Halim B, Rivany R, Ardiansyah E. Correlation between Blood Glucose Levels on Niche Incidence after Cesarean Section. Open Access Maced J Med Sci [Internet]. 2023 Jan. 1 [cited 2024 Feb. 25];11(B):32-7. Available from: https://oamjms.eu/index.php/mjms/article/view/11029

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