Details

Autor(en) / Beteiligte

• Aboshama, Rehab Abdelhamid
• Taha, Omima T.
• Abdel Halim, Hala Waheed
• Elrehim, Eman Ibrahim Abd
• Kamal, Shaimaa Hanafy Moustafa
• ElSherbiny, Ahmed Mohamed
• Magdy, Hagar Abdelgawad
• Albayadi, Eslam
• Elsaid, Rasha Ezzat
• Abdelghany, Amany Mohamed
• Anan, Mohamed A.
• Abdelfattah, Laila Ezzat

Titel

Prevalence and risk factor of postoperative adhesions following repeated cesarean section: A prospective cohort study

Ist Teil von

• International journal of gynecology and obstetrics, 2023-04, Vol.161 (1), p.234-240

Ort / Verlag

United States

Erscheinungsjahr

2023

Quelle

Wiley Online Library Journals Frontfile Complete

Beschreibungen/Notizen

• Objective To evaluate the prevalence of intraperitoneal adhesions after repeated cesarean delivery and its associated personal and surgical risk factors. Methods This prospective cohort study was conducted at the delivery ward at Fayoum University Hospital from October 2020 to December 2021. Women were recruited according to predetermined inclusion and exclusion criteria. Eligible women were interviewed, and data were obtained for personal history, past surgical and obstetrical history, and data about the current delivery. Nair's scoring system was used to evaluate intraperitoneal adhesions. Postoperative data and complications were reported. Results Three hundred women were recruited. Moderate to severe adhesions occurred in 186 patients (62%). These patients had a significantly prolonged hospital stay and were delivered by expert surgeons (P < 0.001 and P = 0.008, respectively). The adhesion score correlated positively with patients' age (P < 0.001), parity (P < 0.001), interpregnancy interval (P = 0.033), duration of hospital admission either previously or in the current delivery (P = 0.001 and P < 0.001), time to ambulation (P < 0.001), time to intestinal movement (P < 0.001), operative time (P < 0.001), and surgeons' age and experience (both P = 0.015). Conclusion Adhesions led to increased maternal morbidity. Multiple contributing factors were significantly related to adhesions with multiple cesarean deliveries. Synopsis Intraperitoneal adhesions are found in women undergoing repeat cesarean delivery and cause increased maternal morbidity. Multiple factors were significantly related to adhesion formation.