Adhesion development and morbidity after repeat cesarean delivery - 20/08/11
Résumé |
Objective |
The purpose of this study was to evaluate the development and implications of intraabdominal adhesions after repeat cesarean section delivery (CS).
Study Design |
We reviewed the charts of 1283 women who underwent repeat CS and 203 other women who underwent primary CS. Primary outcome measures were incidence and extent of adhesions, incision-to-delivery interval, and operating time.
Results |
No adhesions were found in primary CS. Compared with those women with a second CS (24.4%), significantly more women had adhesions after 3 CSs (42.8%; 95% confidence interval [CI], 0.84-0.99). Compared with a first CS (7.7 ± 0.3 minutes), the delivery time was significantly longer at subsequent CSs (second CS, 9.4 ± 0.1 minutes; 95% CI, 1-2; third CS, 10.6 ± 0.3 minutes; 95% CI, 2-4; ≥ 4 CSs, 10.4 ± 0.1 minutes; 95% CI, 1-2). However, complication rates in those women with ≥ 2 CSs were comparable with primary CS.
Conclusion |
Increased adhesion development and a longer time to delivery were found with each subsequent CS.
Le texte complet de cet article est disponible en PDF.Key words : adhesion, cesarean section delivery, delivery time, operating time, repeat cesarean section delivery
Plan
| Funded by an educational Grant from Ethicon Inc., Somerville, NJ. |
|
| Reprints not available from the authors. |
|
| Cite this article as: Tulandi T, Agdi M, Zarei A, et al. Adhesion development and morbidity after repeat cesarean delivery. Am J Obstet Gynecol 2009;201:56.e1-6. |
Vol 201 - N° 1
P. 56.e1-56.e6 - juillet 2009 Retour au numéro
Article précédent
- Low pregnancy weight gain and small for gestational age: a comparison of the association using 3 different measures of small for gestational age
- Patricia M. Dietz, William M. Callaghan, Ruben Smith, Andrea J. Sharma
- Associations of diet and physical activity during pregnancy with risk for excessive gestational weight gain
- Alison M. Stuebe, Emily Oken, Matthew W. Gillman
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?