Predictive value of striae gravidarum severity for intraperitoneal adhesions or uterine scar healing in patients with previous caesarean delivery

• Published in: The journal of maternal-fetal & neonatal medicine Vol. 27; no. 13; pp. 1312 - 1315
• Main Authors: Cakir Gungor, Ayse Nur, Oguz, Sevilay, Hacivelioglu, Servet, Isik, Selda, Uysal, Ahmet, Gencer, Meryem, Cosar, Emine
• Format: Journal Article
• Language: English
• Published: England Informa UK Ltd 01-09-2014; Taylor & Francis
• Subjects: Adult; Caesarean scar; Cesarean Section - adverse effects; Cicatrix - pathology; Female; Humans; intraabdominal adhesions; Pregnancy; Severity of Illness Index; stretch marks; Striae Distensae - epidemiology; Tissue Adhesions - epidemiology; Turkey - epidemiology; Uterus - pathology; Turkey; stretch marks; Caesarean scar; intraabdominal adhesions
• ISSN: 1476-7058; 1476-4954
• DOI: 10.3109/14767058.2013.856876

Abstract
Objective: Previous abdominal operations might cause severe intraperitoneal adhesions (IPA), which can complicate caesarean section (CS) procedures. When selecting the mode and timing of delivery, obstetricians are also curious about uterine scar healing if the previous operation was a CS. Uterine scar thickness is an indicator of uterine scar healing. We aimed to evaluate the possible predictive value of striae gravidarum (SG) on IPA formation and uterine scar thickness (UST).
Methods: Fifty-five women with a previous CS history were evaluated for SG Davey Score. They were investigated for IPAs and lower segment uterine scar thickness during the current CS operation.
Results: Out of the patients with no SG (n = 11), mild SG (n = 10) and severe SG (n = 34), 1 (9.1%), 3 (30%) and 17 (50%) had IPA, respectively (p = 0.044). The mean uterine scar thicknesses in the no SG, mild SG and severe SG groups were 3.82 ± 4.04, 5.20 ± 4.13 and 5.18 ± 3.52, respectively (p = 0.561).
Conclusions: To the best of our knowledge, this was the first study to investigate the relationship between SG and IPA and uterine scar thickness. The SG status of a patient with a previous delivery and abdominal operation history might help predict IPA status before planning a new operation.