ArticleReproductive health2017
Prevalence of adhesions and associated postoperative complications after cesarean section in Ghana: a prospective cohort study.
Article in Reproductive health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Adhesion barriers in gynecologic surgeries and cesarean section: An Asia-Pacific expert panel consensus recommendation.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025Pooled it
- Trial
- Article
- Maternal complications within six weeks after primary caesarean section in Ghana: a prospective cohort study.BMC pregnancy and childbirth · 2026Article
- Repeat cesarean delivery with hysterectomy: a sheep model to examine uterine scars.Reproduction & fertility · 2026Article
- Impact of repeat cesarean sections on surgical site infections, microbiological patterns, and surgical outcomes: a prospective multicenter cohort study in South Ethiopia.BMC pregnancy and childbirth · 2026Article
- Transabdominal ultrasound sliding sign for predicting intra-abdominal adhesions in repeat cesarean delivery: a prospective observational study from Vietnam.AJOG global reports · 2026Article
- Risk Factors Contributing to Adhesive Disease Following Primary Cesarean Section: A Cross-Sectional Study.Cureus · 2025Article
- Article
- MR imaging for preoperative characterization of pelvic adhesions: role in diagnosis and surgical planning.Abdominal radiology (New York) · 2025Review
- The Collection and Application of Autologous Amniotic Fluid to Cesarean Delivery Closure.AJP reports · 2024Article
- Functional recovery after cesarean delivery: a prospective cohort study in rural Rwanda.BMC pregnancy and childbirth · 2023Article
- Exploring factors influencing skin incision to the delivery time and their impact on neonatal outcomes among emergency cesarean deliveries indicated for non-reassured fetal heart rate status.Frontiers in pediatrics · 2023Article
- Intra-abdominal Adhesions among Patients Undergoing Repeat Caesarean Section in Department of Obstetrics and Gynaecology of a Tertiary Care Centre: A Descriptive Cross-sectional Study.JNMA; journal of the Nepal Medical Association · 2022Article
- Incidence and associated factors of acute postoperative pain within the first 24 h in women undergoing cesarean delivery at a resource-limited setting in Addis Ababa, Ethiopia: A prospective observational study.SAGE open medicine · 2022Article
- Article
- Laparotomy for Abdominal Adhesion and Removal of Intrauterine Device from Anatomically Distorted Uterus due to Adhesion in a 43-Year-Old Woman with 3 Previous Cesarean Sections.The American journal of case reports · 2021Article
- Association between surgical technique, adhesions and morbidity in women with repeat caesarean section: a retrospective study in a rural hospital in Western Tanzania.BMC pregnancy and childbirth · 2020Article
- Peritoneal adhesion findings during laparoscopy: Determinants of occurrence and effect of severity on operative outcomes in a Nigerian Hospital.Annals of African medicineObservational
- RISK FACTORS FOR READMISSION AND LENGTH OF INPATIENT STAY IN RURAL GHANA FOLLOWING EXPLORATORY LAPAROTOMY.Journal of the West African College of SurgeonsArticle
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe global increase in Cesarean section rate is associated with short- and long-term complications, including adhesions with potential serious maternal and fetal consequences. This study investigated the prevalence of adhesions and association between adhesions and postoperative complications in a tertiary referral hospital in Accra, Ghana.
methodsIn this prospective cohort study, 335 women scheduled for cesarean section at Korle-Bu Teaching Hospital in Accra, Ghana were included from June to December 2015. Presence or absence of adhesions was recorded and the severity of the adhesions was scored using a classification system. Associations between presence and severity of adhesions, postoperative complications, and maternal and infant outcomes at discharge and 6 weeks postpartum were assessed using multivariate logistic and linear regression analysis.
resultsOf the participating women, 128 (38%) had adhesions and 207 (62%) did not. Prevalence of adhesions increased with history of caesarean section; 2.8% with no CS but may have had an abdominal surgery, 51% with one previous CS, 62% with >1 CS). Adhesions significantly increased operation time (mean 39.2 (±15.1) minutes, absolute adjusted difference with presence of adhesions 9.6 min, 95%CI 6.4-12.8), infant delivery time (mean 5.4 (±4.8) minutes, adjusted difference 2.4 min, 95%CI 1.3-3.4), and blood loss for women with severe adhesions (mean blood loss 418.8 ml (±140.6), adjusted difference 57.6 ml (95%CI 12.1-103.0). No differences for other outcomes were observed.
conclusionWith cesarean section rates rising globally, intra-abdominal adhesions occur more frequently. Risks of adhesions and associated complications should be considered in counseling patients for cesarean section.
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