The Association between Body Mass Index and Intra-abdominal Adhesions in Women Undergoing Repeat Caesarean Sections
Kholaif, K., Elsallamy, A., Ramadan, M. (2023). The Association between Body Mass Index and Intra-abdominal Adhesions in Women Undergoing Repeat Caesarean Sections. EKB Journal Management System, 13(1), 49-102. doi: 10.21608/ebwhj.2023.186448.1229
Khaled Kholaif; Ayman Elsallamy; Mohamed Ramadan. "The Association between Body Mass Index and Intra-abdominal Adhesions in Women Undergoing Repeat Caesarean Sections". EKB Journal Management System, 13, 1, 2023, 49-102. doi: 10.21608/ebwhj.2023.186448.1229
Kholaif, K., Elsallamy, A., Ramadan, M. (2023). 'The Association between Body Mass Index and Intra-abdominal Adhesions in Women Undergoing Repeat Caesarean Sections', EKB Journal Management System, 13(1), pp. 49-102. doi: 10.21608/ebwhj.2023.186448.1229
Kholaif, K., Elsallamy, A., Ramadan, M. The Association between Body Mass Index and Intra-abdominal Adhesions in Women Undergoing Repeat Caesarean Sections. EKB Journal Management System, 2023; 13(1): 49-102. doi: 10.21608/ebwhj.2023.186448.1229

The Association between Body Mass Index and Intra-abdominal Adhesions in Women Undergoing Repeat Caesarean Sections

Evidence Based Women's Health Journal
Article 15, Volume 13, Issue 1, February 2023, Page 49-102  XML PDF (369.97 K)
Document Type: Original Article
DOI: 10.21608/ebwhj.2023.186448.1229
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Authors
Khaled Kholaif1; Ayman Elsallamy email 2; Mohamed Ramadan1
1Department of Obstetrics and Gynecology, Faculty of Medicine, Cairo University
2Department of Obstetrics and Gynecology, Faculty of Medicine, Misr University for Science and Technology, 6th October City, Giza
Abstract
Methods: In this prospective observational study, 232 pregnant ladies were included. They were divided into two groups to compare the degree of intra-abdominal adhesions between women with BMI less than 30 kg/m2 (group 1) and those with BMI more than or equal to 30 kg/m2 (group 2). We also subdivided group 2 candidates into 3 subgroups : Group 2a: women with BMI between 30-35, Group 2b: women with BMI between 35-40 and Group 2c: women with BMI more than 40.  BMI of pregnant women was calculated on admission; and the degree of adhesion intra-operative was observed according to Tulandi's classification of adhesions. Bladder & bowel injuries were recorded.
Results: There is increased incidence of omental adhesions and adhesions between the uterus and abdominal fascia in group 2 more than group 1, but regarding adhesions between uterus & bladder and adhesions to other pelvic organs, results were similar in both group. Women with BMI more than or equal to 30 kg/m2 are at higher risk of hemoglobin drop during CS compared to those with BMI less than 30 kg/m2. Bladder and bowel injuries were also similar in both groups.
Conclusion: Women with BMI more than or equal to 03kg/m2 tend to have a higher incidence of omental adhesions and adhesions between the uterus and abdominal fascia than those with BMI less than 30kg/m2. Women with BMI more than or equal to 30 kg/m2 are at higher risk of hemoglobin drop during CS compared to those with BMI less than 30 kg/m2
Keywords
Adhesions; BMI; cesarean section; obesity
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