•  
  •  
 

Subject Area

Obstetrics and Gynecology

Article Type

Original Study

Abstract

Objectives To investigate the predictive value of striae gravidarum and scar characteristics on the presence of pelvic adhesions at repeat cesarean delivery. Patients and methods The current study was a cross-sectional study conducted in Menoufia University Hospital between November 2019 and November 2020. The study was carried out on patients admitted to the ward fulfilling particular inclusion and exclusion criteria. Preoperatively, abdominal scar characteristics (according to the scar's appearance and color) and striae gravidarum (color and severity using Davey score) were both recorded. Then, at the time of surgery, intra-abdominal adhesions were graded according to the modified Nair's classification. Results The study included 400 women: group I that included 250 women was found to have no adhesions, group II that included 76 women had filmy adhesion, and group III that included 74 women had dense adhesions. Among the skin markers, abdominal scar color (P = 0.010), depressed scar (P < 0.001), striae color grading (P = 0.001), and striae severity (P = 0.009) were found to have significant associations with intraperitoneal adhesions. Also, there was a significant positive correlation between adhesion score with the number of cesarean section (P = 0.012) and severity of striae (P = 0.002). Conclusion Abdominal striae and cesarean scar were significant predictors for intraperitoneal adhesions.

Download

Share

COinS