Prevalence and Risk Factor of Postoperative Adhesions Following Repeated Cesarean Section

Behzad  Azimi; Rabea Mohsen  Ali; Shideh  Ariana

doi:10.18502/aacc.v12i2.20955

Behzad Azimi Department of General Surgery, School of Medicine, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Rabea Mohsen Ali Department of Maternal and Neonatal Nursing, College of Nursing, University of Kut, Wasit, 52001, Iraq.
Shideh Ariana Department of Obstetrics and Gynecology, School of Medicine, Preventative Gynecology Research Center, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

DOI: https://doi.org/10.18502/aacc.v12i2.20955

Keywords: Cesarean section; Gynecological; Adhesions

Abstract

Background: Intrauterine adhesion (IUA) typically occurs as a result of intrauterine trauma associated with a surgical procedure. This study aimed to assess the prevalence and risk factors of postoperative adhesions following repeated cesarean sections.

Methods: In this registry-based study, data collection tools included a standardized registry checklist and the American Fertility Society (AFS) classification system for assessing IUA. The diagnosis of IUA was confirmed by an obstetrician-gynecologist, and the AFS scoring was performed by trained researchers responsible for completing the registry data. This study specifically focused on patients who were admitted to the Intensive Care Unit (ICU) of Ayatollah Taleghani Hospital in Ilam following their second cesarean delivery (CD). Within a defined timeframe, the incidence of IUA among these ICU-admitted patients was evaluated. The collected data were subsequently analyzed using SPSS statistical software.

Results: According to the findings, out of 121 hospitalized patients, 35 (28.92%) patients were diagnosed with IUA. Out of 35 patients, 15 (42.9%) patients were in Stage I (mild), 13 (37.1%) patients were in Stage II (moderate), and 7 (20%) patients were in Stage III (severe). also, there was no difference between any of the variables in Table 1 and the stage of adhesions (P>0.05).

Conclusion: Given that the rate of IUA has been significant, it is recommended that necessary preventive and therapeutic interventions be implemented to reduce its incidence, contributing factors, and related complications