Hubungan Kadar Glukosa Darah dan Hemoglobin terhadap Kejadian Niche

Abstract

Background : Long-term sequele of caesarean section is formation of niche in caesarean section (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 caesarean section patients. Methods : This research was an observational 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-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, 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 and hemoglobin in post CS patients using eta test with p value = 0.872. Conclusion: Incidence of niche was 63,3%. There was no significant correlation between blood glucose levels and hemoglobin with niche incidence in post CS patients.