ASSESSMENT OF MORPHOFUNCTIONAL CHANGES IN THE UTERINE SCAR AFTER CESAREAN SECTION

Abstract

The increasing rate of cesarean sections worldwide has led to growing concerns regarding the morphofunctional changes in the uterine scar and their impact on reproductive health. The integrity and functional state of the scar are critical factors in determining the feasibility of subsequent vaginal delivery and the risk of severe complications such as uterine rupture, abnormal placentation, and infertility. Traditional diagnostic methods, including standard ultrasound, often fail to provide a comprehensive assessment of the structural and functional changes in the scar. Modern imaging techniques such as 3D ultrasound, elastography, MRI, and Doppler studies offer a more detailed evaluation of scar morphology, elasticity, and vascularization, improving risk prediction and patient management strategies.