The hazardous impacts of multiple repeated cesarean deliveries on adhesion formation and obstetric outcomes

Çakır, Caner; yildirim, engin; GORKEM, Umit; KAN, Özgür Berk; alkilic, aysegul; kocak, ozgur

doi:10.5455/annalsmedres.2019.10.631

The hazardous impacts of multiple repeated cesarean deliveries on adhesion formation and obstetric outcomes

Özgür Berk KAN, (Hitit Üniversitesi Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Çorum, Türkiye)

Ümit GÖRKEM, (Hitit Üniversitesi, Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Çorum, Türkiye)

Ayşegül AYKILIÇ, (TOBB Üniversitesi, Tıp Fakültesi Kadın Hastalıkları ve Doğum Anabilim Dalı, Ankara, Türkiye)

Caner ÇAKIR, (Etlik Zübeyde Hanım Kadın Sağlığı Eğitim ve Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, Ankara, Türkiye)

Özgür KOÇAK, (Hitit Üniversitesi, Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Çorum, Türkiye)

Engin YILDIRIM (Hitit Üniversitesi, Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Çorum, Türkiye)

Annals of Medical Research

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Yıl: 2020 Cilt: 27 Sayı: 2 Sayfa Aralığı: 436 - 441 Metin Dili: İngilizce DOI: 10.5455/annalsmedres.2019.10.631 İndeks Tarihi: 15-10-2020

The hazardous impacts of multiple repeated cesarean deliveries on adhesion formation and obstetric outcomes

Öz:

Aim: The aim of this study was to determine whether the impact of repeat cesarean deliveries (CD) and abdominal adhesions onmaternal and fetal complications exists in patients with a history of one previous CD and ones with three or more prior CD.Material and Methods: A total of one hundred-one pregnant women with a history of at least one previous CD were included in thisprospective observational study. Participants were divided into two groups, patients with a single CD were added to the control group(n=56) and patients with a history of three or more CD were included in the study group (n=45). Preoperative scar characteristics andhemoglobin levels, intraoperative adhesion severity and grade were evaluated by using Linsky and Nair classifications for adhesion.In addition, duration of surgery, maternal complications and fetal status by using APGAR scoring system was analyzed, respectively.Results: Demographic features were comparable between the groups. The differences among the groups were found to be statisticallysignificant in terms of adhesion intensity and grade (1.13 vs 0.42, p<0.01 and 1.80 vs 0.89, p<0.01, respectively), hemoglobin change(1.42 vs 0.83 mg/dL, p=0.011) and operation duration (47.60 vs 36.82 min, p<0.01). In addition, APGAR scores were significantlylower in the multiple repeat cesarean group (1.min; 8.31 vs 8.64, p=0.02 and 5.min 9.37 vs 9.64, p=0.04, respectively).Conclusion: Multiple repeat CD was associated with poor obstetric outcomes and complications. Careful preoperative evaluationand preparation might be useful in reducing complications, especially in patients with a history of three or more CD.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	KAN Ö, GORKEM U, alkilic a, Çakır C, kocak o, yildirim e (2020). The hazardous impacts of multiple repeated cesarean deliveries on adhesion formation and obstetric outcomes. , 436 - 441. 10.5455/annalsmedres.2019.10.631
Chicago	KAN Özgür Berk,GORKEM Umit,alkilic aysegul,Çakır Caner,kocak ozgur,yildirim engin The hazardous impacts of multiple repeated cesarean deliveries on adhesion formation and obstetric outcomes. (2020): 436 - 441. 10.5455/annalsmedres.2019.10.631
MLA	KAN Özgür Berk,GORKEM Umit,alkilic aysegul,Çakır Caner,kocak ozgur,yildirim engin The hazardous impacts of multiple repeated cesarean deliveries on adhesion formation and obstetric outcomes. , 2020, ss.436 - 441. 10.5455/annalsmedres.2019.10.631
AMA	KAN Ö,GORKEM U,alkilic a,Çakır C,kocak o,yildirim e The hazardous impacts of multiple repeated cesarean deliveries on adhesion formation and obstetric outcomes. . 2020; 436 - 441. 10.5455/annalsmedres.2019.10.631
Vancouver	KAN Ö,GORKEM U,alkilic a,Çakır C,kocak o,yildirim e The hazardous impacts of multiple repeated cesarean deliveries on adhesion formation and obstetric outcomes. . 2020; 436 - 441. 10.5455/annalsmedres.2019.10.631
IEEE	KAN Ö,GORKEM U,alkilic a,Çakır C,kocak o,yildirim e "The hazardous impacts of multiple repeated cesarean deliveries on adhesion formation and obstetric outcomes." , ss.436 - 441, 2020. 10.5455/annalsmedres.2019.10.631
ISNAD	KAN, Özgür Berk vd. "The hazardous impacts of multiple repeated cesarean deliveries on adhesion formation and obstetric outcomes". (2020), 436-441. https://doi.org/10.5455/annalsmedres.2019.10.631

APA	KAN Ö, GORKEM U, alkilic a, Çakır C, kocak o, yildirim e (2020). The hazardous impacts of multiple repeated cesarean deliveries on adhesion formation and obstetric outcomes. Annals of Medical Research, 27(2), 436 - 441. 10.5455/annalsmedres.2019.10.631
Chicago	KAN Özgür Berk,GORKEM Umit,alkilic aysegul,Çakır Caner,kocak ozgur,yildirim engin The hazardous impacts of multiple repeated cesarean deliveries on adhesion formation and obstetric outcomes. Annals of Medical Research 27, no.2 (2020): 436 - 441. 10.5455/annalsmedres.2019.10.631
MLA	KAN Özgür Berk,GORKEM Umit,alkilic aysegul,Çakır Caner,kocak ozgur,yildirim engin The hazardous impacts of multiple repeated cesarean deliveries on adhesion formation and obstetric outcomes. Annals of Medical Research, vol.27, no.2, 2020, ss.436 - 441. 10.5455/annalsmedres.2019.10.631
AMA	KAN Ö,GORKEM U,alkilic a,Çakır C,kocak o,yildirim e The hazardous impacts of multiple repeated cesarean deliveries on adhesion formation and obstetric outcomes. Annals of Medical Research. 2020; 27(2): 436 - 441. 10.5455/annalsmedres.2019.10.631
Vancouver	KAN Ö,GORKEM U,alkilic a,Çakır C,kocak o,yildirim e The hazardous impacts of multiple repeated cesarean deliveries on adhesion formation and obstetric outcomes. Annals of Medical Research. 2020; 27(2): 436 - 441. 10.5455/annalsmedres.2019.10.631
IEEE	KAN Ö,GORKEM U,alkilic a,Çakır C,kocak o,yildirim e "The hazardous impacts of multiple repeated cesarean deliveries on adhesion formation and obstetric outcomes." Annals of Medical Research, 27, ss.436 - 441, 2020. 10.5455/annalsmedres.2019.10.631
ISNAD	KAN, Özgür Berk vd. "The hazardous impacts of multiple repeated cesarean deliveries on adhesion formation and obstetric outcomes". Annals of Medical Research 27/2 (2020), 436-441. https://doi.org/10.5455/annalsmedres.2019.10.631