DOI: https://doi.org/10.36347/sjams.2025.v13i06.011

Pages: 1308-1312

Background: Cesarean section (CS) rates have risen globally, leading to increased attention on associated complications. One such complication is the formation of a cesarean scar niche, a defect at the site of the uterine incision, which can result in various gynecological and obstetric issues. Aim: This study aims to identify the contributing factors, consequences, and protective measures related to cesarean scar niche formation in Bangladesh. Method: A retrospective study was conducted at the Tertiary Medical College Hospital, Bangladesh, from January 2024 to December 2024. One hundred women with a history of cesarean section were evaluated using transvaginal sonography to detect the presence of a niche. Data on patient demographics, surgical details, and postoperative outcomes were collected and analyzed. Results: Out of 100 women, 38% were found to have a cesarean scar niche. Significant contributing factors included multiple cesarean deliveries, single-layer uterine closure, and a retroflexed uterus. Common consequences observed were abnormal uterine bleeding, pelvic pain, and secondary infertility. Protective measures such as double-layer uterine closure and proper surgical techniques were associated with a reduced incidence of niche formation. Conclusion: Cesarean scar niches are a notable concern in Bangladesh, with specific surgical and anatomical factors contributing to their formation. Implementing protective surgical techniques and thorough postoperative monitoring can mitigate associated complications.