Dehghani Firouzabadi R, Shafa S, Yazdian Anari P, Vaghefi M. 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. JSSU 2015; 23 (1) :1776-1782
URL:
http://jssu.ssu.ac.ir/article-1-2812-en.html
Abstract: (9057 Views)
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.
Type of Study:
Original article |
Subject:
Obstetrics Received: 2014/05/19 | Accepted: 2014/11/9 | Published: 2015/04/4