The hazardous impacts of multiple repeated cesarean deliveries on adhesion formation and obstetric outcomes

Abstract

Aim: The aim of this study was to determine whether the impact of repeat cesarean deliveries (CD) and abdominal adhesions onmaternal and fetal complications exists in patients with a history of one previous CD and ones with three or more prior CD.Material and Methods: A total of one hundred-one pregnant women with a history of at least one previous CD were included in thisprospective observational study. Participants were divided into two groups, patients with a single CD were added to the control group(n=56) and patients with a history of three or more CD were included in the study group (n=45). Preoperative scar characteristics andhemoglobin levels, intraoperative adhesion severity and grade were evaluated by using Linsky and Nair classifications for adhesion.In addition, duration of surgery, maternal complications and fetal status by using APGAR scoring system was analyzed, respectively.Results: Demographic features were comparable between the groups. The differences among the groups were found to be statisticallysignificant in terms of adhesion intensity and grade (1.13 vs 0.42, p