Adhesion Following First-Time C-Section and its Effects on Mother and Neonate in Patients Admitted to Shahid Sadoughi Hospital in Yazd during 2012-2014

Abstract

Introduction: C-section is a method of delivery which has increasingly grown in different societies for different reasons. This invasive surgery can cause many problems in mothers. Following repeated C-sections, such complications as substantial intraoperative blood loss, increased maternal duration of hospitalization, and postoperative uterine adhesion are exacerbated. Methods: Ninety four patients candidate for first-time C-section referring to Shahid Sadoughi Hospital in Yazd during 2012-2014 were included in this study based on inclusion criteria. Non-random convenience sampling method was used which continued until the desired sample size was achieved. The required information was recorded in a questionnaire based on patients’ history, and the degree of adhesion was measured according to NAIR’s modified criteria during the second C-section. Results: The participants’ mean age was 27.59 years with a minimum and maximum of 20 and 36 years, respectively. Moreover, 35.1%, 44.7% and 20.2% of the sample had no adhesion, mild adhesion, and severe adhesion, respectively. A significant difference was observed within mothers with adhesion in terms of blood loss amount (p<0.001). The mean duration of hospitalization in different degrees of adhesion was also significant (p<0.001). Conclusion: In this study, a significant relationship was detected between the degree of adhesion and hemoglobin loss, duration of hospitalization, duration of fetus delivery from uterus, as well as the overall duration of operation.

Keywords

• Adhesion
• C-section
• Neonate