Prediction of Pelvic Adhesions at Repeat Cesarean Delivery

Predictive Value of Striae Gravidarum Severity and Cesarean Scar Characteristics for Pelvic Adhesions at Repeat Cesarean Delivery

Several methods have been used to predict adhesions after abdominal operations. High-resolution ultrasonography, magnetic resonance imaging and scar healing properties were the methods that were evaluated in the English literature for this study. Estimating the likelihood of adhesions and related complications after prior surgery and assessing the severity of adhesion formation after surgery is not easy. Anticipating adhesions is very important to preventing complications by ensuring that the necessary preoperative preparations are in place and/or that appropriate cases are referred to a tertiary center.

Study Overview

• Status: Completed
• Conditions: Decrease Maternal Morbidity
• Intervention / Treatment: Other: Davey score for striae gravidarum

• Study Type: Observational
• Enrollment (Actual): 300

Contacts and Locations

Study Locations

• Egypt
  • Cairo
    • Assiut, Cairo, Egypt, 002
      • Ahmed Abbas

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: Female

• Sampling Method: Probability Sample

Study Population

All Women who will be admitted to our Labor Ward for emergency or elective cesarean section will be invited to participate.

Description

Inclusion Criteria:

1. Women with at least previous one cesarean
2. Full term (37- 41 weeks)
3. Women accepted to participate in the study

Exclusion Criteria:

1. History of pelvic inflammatory disease
2. History of endometriosis
3. Previous pelvic surgery other than cesarean
4. History of wound site infections
5. History of long corticosteroid use
6. Women with midline incisions
7. Women with placenta accreta
8. Women refuse to participate in the study

Study Plan

How is the study designed?

Design Details

• Observational Models: Other
• Time Perspectives: Cross-Sectional

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Rate of of abdominal adhesions in relation to striae scoring system	30 min

Collaborators and Investigators

• Sponsor: Assiut University

Study record dates

Study Major Dates

• Study Start (Actual): November 1, 2016
• Primary Completion (Actual): March 1, 2018
• Study Completion (Actual): June 1, 2018

Study Registration Dates

• First Submitted: October 21, 2016
• First Submitted That Met QC Criteria: October 21, 2016
• First Posted (Estimate): October 24, 2016

Study Record Updates

• Last Update Posted (Actual): May 13, 2020
• Last Update Submitted That Met QC Criteria: May 11, 2020
• Last Verified: May 1, 2020

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pathologic Processes; Fibrosis; Cicatrix; Tissue Adhesions
• Other Study ID Numbers: PACS

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: Yes