{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T01:06:43Z","timestamp":1791594403593,"version":"4.3.4"},"reference-count":40,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,10,26]],"date-time":"2022-10-26T00:00:00Z","timestamp":1666742400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the prevalence of intraperitoneal adhesions after repeated cesarean delivery and its associated personal and surgical risk factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This prospective cohort study was conducted at the delivery ward at Fayoum University Hospital from October 2020 to December 2021. Women were recruited according to predetermined inclusion and exclusion criteria. Eligible women were interviewed, and data were obtained for personal history, past surgical and obstetrical history, and data about the current delivery. Nair's scoring system was used to evaluate intraperitoneal adhesions. Postoperative data and complications were reported.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three hundred women were recruited. Moderate to severe adhesions occurred in 186 patients (62%). These patients had a significantly prolonged hospital stay and were delivered by expert surgeons (<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001 and <jats:italic>P<\/jats:italic>\u00a0=\u20090.008, respectively). The adhesion score correlated positively with patients' age (<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001), parity (<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001), interpregnancy interval (<jats:italic>P<\/jats:italic>\u00a0=\u20090.033), duration of hospital admission either previously or in the current delivery (<jats:italic>P<\/jats:italic>\u00a0=\u20090.001 and <jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001), time to ambulation (<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001), time to intestinal movement (<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001), operative time (<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001), and surgeons' age and experience (both <jats:italic>P<\/jats:italic>\u00a0=\u20090.015).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Adhesions led to increased maternal morbidity. Multiple contributing factors were significantly related to adhesions with multiple cesarean deliveries.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.14498","type":"journal-article","created":{"date-parts":[[2022,10,6]],"date-time":"2022-10-06T12:05:04Z","timestamp":1665057904000},"page":"234-240","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Prevalence and risk factor of postoperative adhesions following repeated cesarean section: A prospective cohort study"],"prefix":"10.1002","volume":"161","author":[{"given":"Rehab Abdelhamid","family":"Aboshama","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine Fayoum University  Fayoum Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8743-5434","authenticated-orcid":false,"given":"Omima T.","family":"Taha","sequence":"additional","affiliation":[{"name":"Department of 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Mohamed","family":"ElSherbiny","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine Suez University  Suez Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hagar Abdelgawad","family":"Magdy","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine for Girls Al\u2010Azhar University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eslam","family":"Albayadi","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Faculty of Medicine Suez Canal University  Ismailia Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rasha Ezzat","family":"Elsaid","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine for Girls Al\u2010Azhar University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amany 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