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Relationship between striae gravidarum and intra-abdominal adhesions in pregnant women with previous C-section

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eMediNexus    03 May 2018

A recent study, published in the International Journal of Current Research, explored if there exists an association between abdominal striae gravidarum and intra-abdominal adhesions in pregnant women with a history of cesarean section. This was a prospective observational study. In all, 210 pregnant women with a history of at least one cesarean section were divided into 3 groups: A (70 patients with no striae), B (70 patients with mild striae) and C (70 patients with severe striae). Preoperatively, patient`s abdominal striae were assessed using the Davey score. The severity of adhesions was evaluated intra-operatively with the modified Nair score. No adhesions were found in 87 patients (grade 0), while 102 had grade 1-2 (filmy adhesions) and 21 had grade 3-4 adhesions (dense adhesions). Among women with no striae, there were no adhesions in 19 patients (21.8%), filmy adhesions in 36 patients (35.3%) and dense adhesions in 15 women (71.4%). Among those with mild striae, there were no adhesions in 27 patients (31.1%), filmy adhesions in 39 patients (38.2%) and dense adhesions in 4 patients (19.1%). Among those with severe striae, there were no adhesions in 41 women (47.1%), filmy adhesions in 27 patients (26.5%) and dense adhesions in 2 patients (9.5%). The adhesion score decreased significantly when the striae score was high, thus suggesting statistically significant value with negative correlation. Preoperative evaluation of abdominal striae gravidarum could serve as a simple clinical affordable tool that can yield information on intra-abdominal adhesions status in pregnant women scheduled for cesarean delivery who have had previous cesarean section.

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