{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T08:20:52Z","timestamp":1771316452313,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,10,19]],"date-time":"2024-10-19T00:00:00Z","timestamp":1729296000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,10,19]],"date-time":"2024-10-19T00:00:00Z","timestamp":1729296000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To identify and analyze risk factors associated with relaparotomy following cesarean delivery (CD), focusing on obstetric and surgical parameters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective case\u2013control study conducted at a high\u2010volume tertiary obstetric center. We reviewed all women who underwent CD between 2013 and 2023. Patients who required a relaparotomy, defined as the reopening of the fascia, were included in the study group. Patient data were systematically reviewed to identify potential risk factors contributing to the need for post\u2010CD relaparotomy, compared with a control group that did not undergo a relaparotomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Out of 11\u2009465 women underwent CD, 59 (0.5%) required relaparotomy. Using a multivariate model for independent risk factors, we found the following to be associated with relaparotomy: emergency CD (adjusted odds ratio [aOR] 3.09, 95% confidence interval [CI] 1.78\u20135.38,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.01), placenta previa (aOR 4.66, 95% CI 1.54\u201314.11,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.01), and multiple gestation as indications for the CD (aOR 4.61, 95% CI 2.10\u201310.12,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.01); estimated intraoperative blood loss of more than 1\u2009L (aOR 5.98, 95% CI 2.79\u201312.80,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.01); and intraoperative adhesions (aOR 7.12, 95% CI 4.06\u201312.48,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our study underscores the multifactorial nature of relaparotomy after CD, emphasizing the significance of considering a broad array of risk factors. By identifying and understanding these factors, clinicians can optimize patient care and potentially reduce morbidity, particularly the need for subsequent surgical interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.15979","type":"journal-article","created":{"date-parts":[[2024,10,19]],"date-time":"2024-10-19T07:03:16Z","timestamp":1729321396000},"page":"1154-1160","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Risk factors for relaparotomy after cesarean delivery"],"prefix":"10.1002","volume":"168","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5376-4907","authenticated-orcid":false,"given":"Natav","family":"Hendin","sequence":"first","affiliation":[{"name":"Helen Schneider Hospital for Women Rabin Medical Center  Petach Tikva Israel"},{"name":"Faculty of Medical and health Sciences Tel Aviv University  Tel Aviv 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