Efficacy of striae gravidarum extension and localization on predicting intraperitoneal adhesion risk
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Tarih
2019
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Wiley
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Aim To evaluate the diagnostic value of striae gravidarum (SG) presence and localization in predicting the intraperitoneal adhesion (IPA) risk in pregnant women with a history of at least one previous cesarean delivery (CD). Methods A total of 100 pregnant women with repeated CD were included in this prospective observational study. Patients were divided into three groups according to severity of SG with Davey scoring system. Intraoperative adhesion severity and extension were evaluated by using Nair classification system. Moreover, operation duration and neonatal outcomes were analyzed. Results Demographic features were comparable between the groups. Adhesion scores were significantly higher in mild and severe SG groups (for mild SG: 1.93 +/- 0.99, for severe SG: 2.81 +/- 0.88 and for no SG: 1.4 +/- 0.57; P < 0.001). Analysis revealed a positive correlation between IPA and severity of SG (P < 0.001). There was a correlation between increased striae density and adhesion severity especially in the right and left upper quadrants of the abdomen (for right quadrant: r = 0.515, P < 0.001; for left quadrant: r = 0.359, P = 0.005). Conclusion Our results suggest that preoperative evaluation of SG severity and extend particularly in upper quadrants is a feasible option to predict IPA risk in patients with repeated CD.
Açıklama
Anahtar Kelimeler
Adhesion, Cesarean, Pregnancy, Stretch Mark, Striae Gravidarum
Kaynak
Journal Of Obstetrics And Gynaecology Research
WoS Q Değeri
N/A
Scopus Q Değeri
Q2
Cilt
45
Sayı
12
Künye
Kan, O., Gorkem, U., Alkilic, A., & Cetin, M. (2019). Efficacy of striae gravidarum extension and localization on predicting intraperitoneal adhesion risk. Journal of Obstetrics and Gynaecology Research, 45(12), 2358-2363.
