Prediction of intraperitoneal adhesions using striae gravidarum and scar characteristics in women undergoing repeated cesarean sections
Abstract Background The current fact of increasing rates of cesarean deliveries is a catastrophe. Recurrent cesareans result in intraperitoneal adhesions that would lead to maternal morbidity during delivery. Great efforts are directed towards the prediction of intraperitoneal adhesions to provide t...
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| Format: | Article |
| Language: | English |
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BMC
2021-04-01
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| Series: | BMC Pregnancy and Childbirth |
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| Online Access: | https://doi.org/10.1186/s12884-021-03763-z |
| _version_ | 1818970604775145472 |
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| author | Mohamed Elprince Omima T. Taha Zakia M. Ibrahim Rasha E. Khamees Mahmoud A. Greash Khaled A. Atwa Ahmed M. Gadallah Noha al-Okda Radwa M. Abdel Aal Mohamed F. Ibrahim Ahmed A. Aboelroose Osama E. Ashour Asmaa M. Elgedawy Amira M. Elbahie Hanan M. Ghoneim Amal A. Ahmed |
| author_facet | Mohamed Elprince Omima T. Taha Zakia M. Ibrahim Rasha E. Khamees Mahmoud A. Greash Khaled A. Atwa Ahmed M. Gadallah Noha al-Okda Radwa M. Abdel Aal Mohamed F. Ibrahim Ahmed A. Aboelroose Osama E. Ashour Asmaa M. Elgedawy Amira M. Elbahie Hanan M. Ghoneim Amal A. Ahmed |
| author_sort | Mohamed Elprince |
| collection | DOAJ |
| description | Abstract Background The current fact of increasing rates of cesarean deliveries is a catastrophe. Recurrent cesareans result in intraperitoneal adhesions that would lead to maternal morbidity during delivery. Great efforts are directed towards the prediction of intraperitoneal adhesions to provide the best care for laboring women. The aim of the current study was to evaluate the role of abdominal striae and cesarean scar characters in the prediction of intraperitoneal adhesions. Methods This was a case- control study conducted in the emergency ward of the obstetrics and gynecology department of a tertiary hospital from June to December 2019. The study was carried on patients admitted to the ward fulfilling particular inclusion and exclusion criteria. The study included two groups, group one was assessed for the presence of striae, and the degree of intraperitoneal adhesions was evaluated during the current cesarean section. Group two included patients without evidence of abdominal striae. They were evaluated for the severity of adhesions also after evaluation of the previous scar. Evaluation of the striae was done using Davey’s scoring system. The scar was assessed using the Vancouver Scar Scale. The modified Nair’s scoring system was used to evaluate intraperitoneal adhesions. Results The study group included 203 women, while the control group included 205 women. There were significant differences in the demographic characters of the recruited patients (p-value 0.001 for almost all variables). The mean Davey score in those with mild, moderate, and severe striae was 1.82 ± 0.39, 3.57 ± 0.5, and 6.73 ± 0.94, respectively (p-value < 0.001). Higher scores for the parameters of the Vancouver scale were present in patients with severe striae (1.69 ± 1.01, 1.73 ± 0.57, 2.67 ± 1.23, and 1.35 ± 1.06 for scar vascularity, pigmentation, pliability, and height respectively with a p-value of < 0.001 each). Thick intraperitoneal adhesions were noted significantly in women with severe striae [21 (43.75%), p-value < 0.001)]. The Davey’s and Vancouver scores showed highly significant predictive performance in the prediction of intraperitoneal adhesions (p-value < 0.001). Conclusion Abdominal striae and cesarean scar were significant predictors for intraperitoneal adhesions. |
| first_indexed | 2024-12-20T14:39:08Z |
| format | Article |
| id | doaj.art-88f765a5d90b4d458b5c1754733d092e |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-12-20T14:39:08Z |
| publishDate | 2021-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-88f765a5d90b4d458b5c1754733d092e2022-12-21T19:37:23ZengBMCBMC Pregnancy and Childbirth1471-23932021-04-012111710.1186/s12884-021-03763-zPrediction of intraperitoneal adhesions using striae gravidarum and scar characteristics in women undergoing repeated cesarean sectionsMohamed Elprince0Omima T. Taha1Zakia M. Ibrahim2Rasha E. Khamees3Mahmoud A. Greash4Khaled A. Atwa5Ahmed M. Gadallah6Noha al-Okda7Radwa M. Abdel Aal8Mohamed F. Ibrahim9Ahmed A. Aboelroose10Osama E. Ashour11Asmaa M. Elgedawy12Amira M. Elbahie13Hanan M. Ghoneim14Amal A. Ahmed15Department of Obstetrics and Gynecology, Faculty of Medicine, Suez Canal UniversityDepartment of Obstetrics and Gynecology, Faculty of Medicine, Suez Canal UniversityDepartment of Obstetrics and Gynecology, Faculty of Medicine, Suez Canal UniversityDepartment of Obstetrics and Gynecology, Faculty of Medicine, Suez Canal UniversityDepartment of Obstetrics and Gynecology, Faculty of Medicine, Suez Canal UniversityDepartment of Obstetrics and Gynecology, Faculty of Medicine, Suez Canal UniversityDepartment of Obstetrics and Gynecology, Faculty of Medicine, Suez Canal UniversityDepartment of Obstetrics and Gynecology, Faculty of Medicine, Suez Canal UniversityDepartment of Obstetrics and Gynecology, Faculty of Medicine, Suez Canal UniversityDepartment of Obstetrics and Gynecology, Faculty of Medicine, Suez Canal UniversityDepartment of Obstetrics and Gynecology, Faculty of Medicine, Suez Canal UniversityDepartment of Obstetrics and Gynecology, Faculty of Medicine, Suez Canal UniversityDepartment of Obstetrics and Gynecology, Faculty of Medicine, Suez Canal UniversityDepartment of Obstetrics and Gynecology, Faculty of Medicine, Suez Canal UniversityDepartment of Obstetrics and Gynecology, Faculty of Medicine, Suez Canal UniversityDepartment of Obstetrics and Gynecology, Faculty of Medicine, Suez Canal UniversityAbstract Background The current fact of increasing rates of cesarean deliveries is a catastrophe. Recurrent cesareans result in intraperitoneal adhesions that would lead to maternal morbidity during delivery. Great efforts are directed towards the prediction of intraperitoneal adhesions to provide the best care for laboring women. The aim of the current study was to evaluate the role of abdominal striae and cesarean scar characters in the prediction of intraperitoneal adhesions. Methods This was a case- control study conducted in the emergency ward of the obstetrics and gynecology department of a tertiary hospital from June to December 2019. The study was carried on patients admitted to the ward fulfilling particular inclusion and exclusion criteria. The study included two groups, group one was assessed for the presence of striae, and the degree of intraperitoneal adhesions was evaluated during the current cesarean section. Group two included patients without evidence of abdominal striae. They were evaluated for the severity of adhesions also after evaluation of the previous scar. Evaluation of the striae was done using Davey’s scoring system. The scar was assessed using the Vancouver Scar Scale. The modified Nair’s scoring system was used to evaluate intraperitoneal adhesions. Results The study group included 203 women, while the control group included 205 women. There were significant differences in the demographic characters of the recruited patients (p-value 0.001 for almost all variables). The mean Davey score in those with mild, moderate, and severe striae was 1.82 ± 0.39, 3.57 ± 0.5, and 6.73 ± 0.94, respectively (p-value < 0.001). Higher scores for the parameters of the Vancouver scale were present in patients with severe striae (1.69 ± 1.01, 1.73 ± 0.57, 2.67 ± 1.23, and 1.35 ± 1.06 for scar vascularity, pigmentation, pliability, and height respectively with a p-value of < 0.001 each). Thick intraperitoneal adhesions were noted significantly in women with severe striae [21 (43.75%), p-value < 0.001)]. The Davey’s and Vancouver scores showed highly significant predictive performance in the prediction of intraperitoneal adhesions (p-value < 0.001). Conclusion Abdominal striae and cesarean scar were significant predictors for intraperitoneal adhesions.https://doi.org/10.1186/s12884-021-03763-zAdhesionsCesarean scarPredictionStriae |
| spellingShingle | Mohamed Elprince Omima T. Taha Zakia M. Ibrahim Rasha E. Khamees Mahmoud A. Greash Khaled A. Atwa Ahmed M. Gadallah Noha al-Okda Radwa M. Abdel Aal Mohamed F. Ibrahim Ahmed A. Aboelroose Osama E. Ashour Asmaa M. Elgedawy Amira M. Elbahie Hanan M. Ghoneim Amal A. Ahmed Prediction of intraperitoneal adhesions using striae gravidarum and scar characteristics in women undergoing repeated cesarean sections BMC Pregnancy and Childbirth Adhesions Cesarean scar Prediction Striae |
| title | Prediction of intraperitoneal adhesions using striae gravidarum and scar characteristics in women undergoing repeated cesarean sections |
| title_full | Prediction of intraperitoneal adhesions using striae gravidarum and scar characteristics in women undergoing repeated cesarean sections |
| title_fullStr | Prediction of intraperitoneal adhesions using striae gravidarum and scar characteristics in women undergoing repeated cesarean sections |
| title_full_unstemmed | Prediction of intraperitoneal adhesions using striae gravidarum and scar characteristics in women undergoing repeated cesarean sections |
| title_short | Prediction of intraperitoneal adhesions using striae gravidarum and scar characteristics in women undergoing repeated cesarean sections |
| title_sort | prediction of intraperitoneal adhesions using striae gravidarum and scar characteristics in women undergoing repeated cesarean sections |
| topic | Adhesions Cesarean scar Prediction Striae |
| url | https://doi.org/10.1186/s12884-021-03763-z |
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