Database_article_JCM

<b>Background/Objectives:</b> Among women with a history of cesarean section (CS), scar abnormalities are observed in 24–70% of cases. The presence of a scar in the lower abdomen may cause pain, dysmenorrhea, dyspareunia and postural dysfunction. The aim of the study was to analyze the factors determining scar stiffness and elasticity in women after CS. <b>Methods:</b> The study involved 30 women aged 26 to 45 who had undergone at least one cesarean section no earlier than six months before the start of the study. Myotonometry was performed to quantify the stiffness and elasticity of the transverse CS scar. The correlation between scar stiffness and elasticity and: age, BMI, time since the last CS and the number of CS’s was assessed. <b>Results</b>: A statistically significant negative correlation was found between BMI and the stiffness and elasticity of most scar areas. Time since the last CS showed a significant correlation with increased stiffness and reduced elasticity, but only in the central region of the scar. The number of CS procedures showed some significant associations with stiffness and elasticity, but only in specific measurement points, and these associations differed by region. <b>Conlusions</b>: In this sample of women after CS, BMI was identified as a significant factor influencing scar biomechanics. The negative correlation observed across all measured points suggests that higher BMI may be associated with reduced stiffness and increased elasticity of the transverse cesarean scar. Additionally, the time elapsed since the last CS may contribute to localized increases in stiffness and reduction in elasticity, particularly in the central region of the scar. Other variables, such as the age and number of CS procedures, did not show consistent or definitive effects on scar stiffness or elasticity.