{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:23:59Z","timestamp":1787772239407,"version":"build-2784847793"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The preoperative prediction of intraperitoneal adhesion (IPA) before repeated cesarean deliveries (CD), which are becoming more prevalent, is crucial for maternal health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>The aim of the study was to preoperatively predict IPA in repeated CD with the stria gravidarum (SG) scoring system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      A total of 167 patients with at least one previous CD at or beyond 37 weeks of gestation were analyzed. Preoperative SG was calculated according to the Davey scoring system: 0-2 score were defined as mild SG (Group 1; n: 94, 56.2%), and 3-8 score were defined as severe SG (Group 2;\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 73, 43.8%). Preoperative previous cesarean incision features were evaluated according to the Vancouver scar scale. IPA was evaluated according to the Nair\u2019s and modified Nair\u2019s scoring systems.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Parity, younger age at first pregnancy, higher body mass index, number of previous CDs, rate of scar symptoms, Nair\u2019s and the modified Nair\u2019s scores were statistically significant in Group 2 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.01;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.04;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.007;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.004;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.007;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.02, respectively). Davey score \u22653 and Vancouver score \u22654.5 were determined as the cut-off value to predict IPA (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.1 and 0.07, respectively). According to multivariate analysis, both Davey and Vancouver scores are independent factors in predicting IPA (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.02 and 0.04, respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Evaluating the SG score through the Davey score in women with a history of previous CD may assist in predicting IPA status before the planning of a subsequent surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/njcp.njcp_767_23","type":"journal-article","created":{"date-parts":[[2024,4,29]],"date-time":"2024-04-29T00:01:55Z","timestamp":1714348915000},"page":"489-495","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Prediction of Intraperitoneal Adhesions in Repeated Cesarean Deliveries with Stria Gravidarum Scoring System: A Cross-sectional Study"],"prefix":"10.4103","volume":"27","author":[{"given":"O","family":"Yavuz","sequence":"first","affiliation":[{"name":"Department of Gynecology and Obstetrics, Dokuz Eylul University School of Medicine, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Kurt","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Dokuz Eylul University School of Medicine, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Ozmen","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, T.C. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 Karacabey Devlet Hastanesi, Bursa, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E","family":"Bilen","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Dokuz Eylul University School of Medicine, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Akd\u00f6ner","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Dokuz Eylul University School of Medicine, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,4,29]]},"reference":[{"key":"R1-20240907","doi-asserted-by":"crossref","first-page":"749","DOI":"10.1111\/bjd.15895","article-title":"Severe disruption and disorganization of dermal collagen fibrils in early striae gravidarum","volume":"178","author":"Wang","year":"2018","journal-title":"Br J Dermatol"},{"key":"R2-20240907","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1186\/s12884-021-03763-z","article-title":"Prediction of intraperitoneal adhesions using striae gravidarum and scar characteristics in women undergoing repeated cesarean sections","volume":"21","author":"Elprince","year":"2021","journal-title":"BMC Pregnancy Childbirth"},{"key":"R3-20240907","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1016\/j.ijgo.2012.11.008","article-title":"Time between skin incision and delivery during cesarean","volume":"121","author":"Rossouw","year":"2013","journal-title":"Int J Gynecol Obstet"},{"key":"R4-20240907","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1002\/bjs.1800690502","article-title":"The causes and prevention of intestinal adhesions","volume":"69","author":"Ellis","year":"2005","journal-title":"Br J Surg"},{"issue":"Pt 1","key":"R5-20240907","first-page":"27","article-title":"Peritoneal adhesions. 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