American Journal of Obstetrics & Gynecology
Volume 201, Issue 1 , Pages 56.e1-56.e6 , July 2009

Adhesion development and morbidity after repeat cesarean delivery

Presented at the 57th Annual Clinical Meeting of the American College of Obstetricians and Gynecologists, Chicago, IL, May 2-6, 2009.

  • Togas Tulandi, MD, MHCM

      Affiliations

    • Department of Obstetrics and Gynecology, McGill University, Montreal, QC, Canada
    • ,
  • Mohammed Agdi, MD

      Affiliations

    • Department of Obstetrics and Gynecology, McGill University, Montreal, QC, Canada
    • ,
  • Afsoon Zarei, MD

      Affiliations

    • Department of Obstetrics and Gynecology, McGill University, Montreal, QC, Canada
    • ,
  • Louise Miner, MD

      Affiliations

    • Department of Obstetrics and Gynecology, McGill University, Montreal, QC, Canada
    • ,
  • Vanja Sikirica, PharmD

      Affiliations

    • Ethicon Inc., Somerville, NJ

Received 27 November 2008 ,Revised 20 April 2009 ,Accepted 22 April 2009.

References 

  1. Canadian Institute for Health Information. Health indicators 2007. Ottawa, Canada: CIHI; 2007;
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  3. Morales KJ, Gordon MC, Bates GW. Postcesarean delivery adhesions associated with delayed delivery of infant. Am J Obstet Gynecol. 2007;196:461
  4. Soltan MH, Al Nuaim L, Khashoggi T, Chowdhury N, Kangave D, Adelusi B. Sequelae of repeat cesarean sections. Int J Gynaecol Obstet. 1996;52:127–132
  5. Makoha FW, Felimban HM, Fathuddien MA, Roomi F, Ghabra T. Multiple cesarean section morbidity. Int J Gynecol Obstet. 2004;87:227–232
  6. Uygur D, Gun O, Kelekci S, Ozturk A, Ugur M, Mungan T. Multiple repeat caesarean section: is it safe?. Eur J Obstet Gynecol Reprod Biol. 2005;119:171–175
  7. Ray NF, Denton WG, Thamer M, Henderson SC, Perry S. Abdominal adhesiolysis: inpatient care and expenditures in the United States in 1994. J Am Coll Surg. 1998;186:1–9
  8. Phipps MG, Watabe B, Clemons JL, Weitzen S, Myers DL. Risk factors for bladder injury during cesarean delivery. Obstet Gynecol. 2005;105:156–160
  9. Cahill AG, Stout MJ, Stamilio DM, Odibo AO, Peipert JF, Macones GA. Risk factors for bladder injury in patients with a prior hysterotomy. Obstet Gynecol. 2008;112:116–120
  10. Nisenblat V, Barak S, Griness OB, Degani S, Ohel G, Gonen R. Maternal complications associated with multiple cesarean deliveries. Obstet Gynecol. 2006;108:21–26
  11. Silver RM, Landon MB, Rouse DJ, et al. Maternal morbidity associated with multiple repeat cesarean deliveries. Obstet Gynecol. 2006;107:1226–1232
  12. Lyell DJ, Caughey AB, Hu E, Daniels K. Peritoneal closure at primary cesarean delivery and adhesions. Obstet Gynecol. 2005;106:275–280
  13. Hamel KJ. Incidence of adhesions at repeat cesarean delivery. Am J Obstet Gynecol. 2007;196:e31–e32
  14. Myers SA, Bennett TL. Incidence of significant adhesions at repeat cesarean section and the relationship to method of prior peritoneal closure. J Reprod Med. 2005;50:659–662
  15. Komoto Y, Shimoya K, Shimizu T, et al. Prospective study of non-closure or closure of the peritoneum at cesarean delivery in 124 women: impact of prior peritoneal closure at primary cesarean on the interval time between first cesarean section and the next pregnancy and significant adhesion at second cesarean. J Obstet Gynaecol Res. 2006;32:396–402
  16. Zareian Z, Zareian P. Non-closure versus closure of peritoneum during cesarean section: a randomized study. Eur J Obstet Gynecol Reprod Biol. 2006;128:267–269

 Funded by an educational Grant from Ethicon Inc., Somerville, NJ.

 Reprints not available from the authors.

 Cite this article as: Tulandi T, Agdi M, Zarei A, et al. Adhesion development and morbidity after repeat cesarean delivery. Am J Obstet Gynecol 2009;201:56.e1-6.

PII: S0002-9378(09)00433-5

doi: 10.1016/j.ajog.2009.04.039

American Journal of Obstetrics & Gynecology
Volume 201, Issue 1 , Pages 56.e1-56.e6 , July 2009

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