An evaluation of the relationship between striae gravidarum and intra-abdominal adhesions in caesarean section.

IF 1.2 Q3 OBSTETRICS & GYNECOLOGY
Yıldız Akdaş Reis, Arife Akay, Fahri Burçin Fıratlıgil, Seval Yılmaz-Ergani, Nigar Mammadova, Belgin Savran-Üçok, Tuğba Kınay, Rahmi Sinan Karadeniz, Yaprak Engin-Üstün
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引用次数: 0

Abstract

Objective: Recurrent cesarean deliveries are associated with intra-abdominal adhesions, and these adhesions affect maternal and neonatal morbidity. The aim of this study was to evaluate the relationship between the severity of striae gravidarum (SG) and intra-abdominal adhesions detected during cesarean section (CS).

Material and methods: In this prospective, case-control study, women undergoing a second CS were divided into three groups according to the severity of SG (group 1 - no SG; group 2 - mild SG; group 3 - moderate to severe SG). Demographic and clinical characteristics, grade of intra-abdominal adhesions, Fitzpatrick skin type (FST), and serum 25-hydroxy vitamin D [25(OH)D] levels were assessed in all groups.

Results: A total of 150 cases were divided into three equal groups. There was no significant difference in body mass index among the groups (p=0.155). Although lower vitamin D levels were observed in group 3 compared to the other groups (p=0.034), the grade of adhesions was not associated with vitamin D level (p=0.281). All of the grade 2-4 adhesions occurred in mild to moderate cases of SG. Intra-abdominal adhesion was absent in 92% of CS (p<0.001) in pregnancies where SG was not detected. No intra-abdominal adhesions were observed in women with FST type 1 and in 80% of cases with type 6 skin, grade 2-4 adhesions were found (p<0.001).

Conclusion: Pregnant women with moderate SG and dark skin are at high-risk of increased incidence of intra-abdominal adhesions in subsequent CS.

剖宫产术中妊娠纹与腹内粘连关系的评价。
目的:反复剖宫产与腹内粘连有关,这些粘连影响孕产妇和新生儿的发病率。本研究的目的是评估剖宫产术(CS)中发现的妊娠纹(SG)严重程度与腹内粘连之间的关系。材料和方法:在这项前瞻性病例对照研究中,接受第二次CS的女性根据SG的严重程度分为三组(1组-无SG;2组为轻度SG;3组:中度至重度SG)。评估各组患者的人口学和临床特征、腹内粘连程度、Fitzpatrick皮肤类型(FST)和血清25-羟基维生素D [25(OH)D]水平。结果:150例患者被分为3组。各组间体重指数差异无统计学意义(p=0.155)。虽然与其他组相比,第3组的维生素D水平较低(p=0.034),但粘连程度与维生素D水平无关(p=0.281)。所有2-4级粘连均发生在轻度至中度SG病例中。结论:中度SG和深色皮肤的孕妇在随后的CS中有腹内粘连发生率增高的危险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.40
自引率
7.10%
发文量
56
期刊介绍: Journal of the Turkish-German Gynecological Association is the official, open access publication of the Turkish-German Gynecological Education and Research Foundation and Turkish-German Gynecological Association and is published quarterly on March, June, September and December. It is an independent peer-reviewed international journal printed in English language. Manuscripts are reviewed in accordance with “double-blind peer review” process for both reviewers and authors. The target audience of Journal of the Turkish-German Gynecological Association includes gynecologists and primary care physicians interested in gynecology practice. It publishes original works on all aspects of obstertrics and gynecology. The aim of Journal of the Turkish-German Gynecological Association is to publish high quality original research articles. In addition to research articles, reviews, editorials, letters to the editor, diagnostic puzzle are also published. Suggestions for new books are also welcomed. Journal of the Turkish-German Gynecological Association does not charge any fee for article submission or processing.
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