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Archives of Gynecology and Obstetrics
Published in: Archives of Gynecology and Obstetrics 4/2015

01-10-2015 | Maternal-Fetal Medicine

Adhesions at repeat cesarean delivery: is there a personal impact?

Authors: Einat Haikin Herzberger, Hila Alon, Anat Hershko-Klement, Yael Ganor-Paz, Moshe D. Fejgin, Tal Biron-Shental

Published in: Archives of Gynecology and Obstetrics | Issue 4/2015

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Abstract

Purpose

The rise in the rate of cesarean deliveries highlights complications related to adhesion formation. This study evaluated whether the incidence and severity of adhesions secondary to repeat cesarean deliveries are a consequence of repeated surgeries or due to an individual’s propensity to develop adhesions.

Methods

A retrospective chart review was conducted for 160 patients who had more than two repeat cesarean deliveries in a single teaching hospital. Data regarding intra-abdominal adhesions were collected. The severity, location, density and amount of adhesions were evaluated based on standard operative reports. Adhesion progression in subsequent cesarean deliveries was evaluated for each individual patient.

Results

69/160 (43 %) patients developed significant adhesions following the primary cesarean delivery. Of these, 46 (67 %) had significant adhesions at the second surgery. Of the 91 (57 %) patients, who did not develop significant adhesions after the primary cesarean delivery, 34 (37 %) had significant adhesions at the third surgery. A patient presenting with significant adhesions at her second cesarean had a 1.88-fold risk for significant adhesions at her third cesarean (95 % CI 1.3–2.7).

Conclusions

Our results suggest that adhesion development might be influenced by individual factors more than by the number of cesarean deliveries.
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Metadata
Title
Adhesions at repeat cesarean delivery: is there a personal impact?
Authors
Einat Haikin Herzberger
Hila Alon
Anat Hershko-Klement
Yael Ganor-Paz
Moshe D. Fejgin
Tal Biron-Shental
Publication date
01-10-2015
Publisher
Springer Berlin Heidelberg
Published in
Archives of Gynecology and Obstetrics / Issue 4/2015
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-015-3718-x

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