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Background: with increasing cesarean delivery rate the cesarean scar defects and related consequences should be evaluated. Aim of the work: this study aimed to assess impact of parity on cesarean scar wound healing. Background: with increasing cesarean delivery rate the cesarean scar defects and related consequences should be evaluated. Aim of the work: this study aimed to assess impact of parity on cesarean scar wound healing. Methods: a prospective observational study was conducted on 51 females with singleton term pregnancy that underwent uncomplicated prelabor primary cesarean section. 6 weeks later they underwent saline hystrosalpingography. Females with medical diseases that can affect the healing process or received medications can affect wound healing as corticosteroids or anticoagulant were excluded. Women used intrauterine device as a contraceptive method inserted during CS, women with any structural uterine abnormality as cervical stenosis or fibroid uterus or with pelvic infection at the time of saline hystrosalpingography were excluded from this study. Results: 75% of the primiparous had CS niche, while, 82.9% of the multiparous group had CS defect (p=0.512). The most prevalent shape of CS defect in the participants was the triangular shape (45.1%) followed by irregular defect (31.4%). The anterior myometrial thickness and the residual myometrial thickness were significantly higher among primiparous women with negative correlation between parity, anterior and residual myometrial thickness (rho = - 0.917 and -0.753 respectively). Conclusion: parity was associated with significant reduction of both the anterior and residual myometrial thickness. [ABSTRACT FROM AUTHOR]

Background: Objective: The aim of this work was to evaluate accuracy of the ultrasonographic assessment at the first or the second trimester of gestation as a predictor of adverse outcome in high risk pregnancies. Patients and methods: A cross sectional study was conducted on 85 consecutive high risk pregnancies attending the Antenatal Clinic and Medical Genetics Center of Ain Shams University. Nuchal translucency thickness was obtained for all cases recruited during 1st trimester. Nuchal fold thickness was obtained for all cases recruited during 2nd trimester. We prospectively evaluated the outcome of each pregnancy. Results: The mean age of participants, mean marriage duration, and gestational age were 32.5 ± 6 years, 7.1±3.3 years and 14.5±2.1weeks respectively. Increased NT thickness and NF thickness were present in 5%, and 8.89% respectively. Down syndrome was found in 1.2% of current pregnancy outcome, while, cystic hygroma was found in 1.2%, cystic hygroma with hydrops was found in 1.2%, skeletal dysplasia and renal agenesis was found in1.2% missed abortion was found in 3.53%.There is a highly significant difference between normal outcome pregnancy and abnormal outcome pregnancy regarding mean NF thickness while no significant differences regarding NT thickness. Conclusion: The findings of our prospective study demonstrate the feasibility of using NF thickness to screen for aneuploidies, adverse perinatal outcome in high risk pregnancies. [ABSTRACT FROM AUTHOR]