Ultrasound Examination To Determine The Thickness Of The Uterus During Pregnancy?
Doctor ,,, to find out the thickness of the uterus should be ultrasound at the week of pregnancy, yes for VBC cases, ?? Then the measurement should be transvaginal ultrasound or abdominal ultrasound? Can a 2D ultrasound to measure uterine thickness? Thank you for your answer..
Good evening, thanks for asking at HealthReplies.com. VBAC stands for the term vaginal birth after cesarean delivery, or which in Indonesian is a normal birth that occurs after having a history of birth by cesarean section. To be able to do VBAC, there are many conditions that must be met by a mother, including:
The distance with the last cesarean section was at least 18-24 months ago
In today's pregnancy there should not be complications such as a loose position, a large baby and so on
The maximum previous cesarean section history is only once. So if it's 2x cesarean, it's best not to do VBAC
The reason for the previous cesarean was not an absolute reason for a cesarean section such as a small pelvis
It should be done at a health facility that is ready for 24-hour cesarean delivery, if VBAC is not successful midway
The thickness of the uterus meets the minimum thickness
Regarding the minimum thickness itself, some say 5mm, some say 3.5mm, some say 2mm. Each of these experts has their own reasons, research, experience and considerations so that this is not a matter of debate because indeed humans cannot just be generalized. There are many factors that can confuse the results, but it is safe to say that the minimum uterine thickness range is around 2-5 mm.
Then regarding the measurement itself, the instruments that can be used can be 2D ultrasound, 3D ultrasound and color doppler, depending on the doctor's ability and the availability of tools at the hospital itself. Measurements are usually taken in the last weeks of pregnancy because before that, the size of the thickness can still change. So our advice regarding your case is not to think too much, and leave the decision whether to do VBAC with your obstetrician. Simply convey your intention to perform VBAC, and your doctor will check your eligibility. If you are still unsure, you can confirm by checking with a different doctor. So, hopefully it answers your question.