Can we predict peritoneal adhesions formation after cesarean delivery?

Alla Saban, Ilana Shoham-Vardi, Ilana Shoham‐Vardi, Liane Stein, Tamar Eshkoli, Adi Y Weintraub
International Journal of Gynecology & Obstetrics · 2023 · vol. 164(2) , pp. 650–655 · doi:10.1002/ijgo.15013 · PMID:37503788 · W4385330828
article OA: bronze CC0
🔓 Open OA copy View on OpenAlex View on PubMed View at publisher

Abstract

OBJECTIVE: To examine demographic and obstetrical factors that are associated with adhesion formation following cesarean delivery. METHODS: We conducted a population-based study that included all women over 18 years og age who underwent two cesarean deliveries between the years 1988 and 2016 in a large tertiary medical center. We excluded women with adhesions already diagnosed during the first cesarean delivery, history of other abdominal or pelvic surgery, history of pelvic infection or pelvic inflammatory disease, history of endometriosis and history of uterine Müllerian anomalies. In addition, women with a classical or T-shaped uterine incision, non-singleton pregnancies, and fetal chromosomal or structural abnormalities were excluded. RESULTS: During the study period, 32.6% (n = 2283) of women were diagnosed with peritoneal adhesions during the second cesarean delivery. Factors found to be significantly associated with peritoneal adhesions were maternal age 35 years or older at the first cesarean delivery, Bedouin Arab ethnicity, composite of intrapartum and postpartum infectious morbidity, and cesarean deliveries that were performed after the onset of labor. In contrast, having a previous vaginal birth was found to be protective. CONCLUSIONS: Our results suggest that a woman's characteristics at her first cesarean delivery and her obstetrical history may be predictive of the likelihood of adhesion formation.

My notes (saved in your browser only)

Condition tags

endometriosis

MeSH descriptors

Cesarean Section Cesarean Section Cesarean Section Cesarean Section Cesarean Section Cesarean Section Cesarean Section Cesarean Section Cesarean Section Cesarean Section Cesarean Section Urogenital Abnormalities Urogenital Abnormalities Urogenital Abnormalities Urogenital Abnormalities Urogenital Abnormalities Urogenital Abnormalities Urogenital Abnormalities Urogenital Abnormalities Urogenital Abnormalities

Citation neighborhood (sparse)

Too few in-corpus citations on either side for a chart; here are the lists.

Cites (2)

References (30)

Source provenance

europepmc
last seen: 2026-06-13T17:20:28.795615+00:00
openalex
last seen: 2026-06-04T00:00:01.174412+00:00
pubmed
last seen: 2026-06-13T17:19:17.186585+00:00
License: CC0 · commercial use OK