Evidence map›Paper›PMID 41042327›Full record

ArticleArchives of gynecology and obstetrics2025

Exploring the risk factors for relaparotomy following cesarean delivery.

Liri Lewi, Gil Gutvirtz, Tamar Wainstock, Gali Pariente, Eyal Sheiner

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Article in Archives of gynecology and obstetrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Liri LewiDepartment of Obstetrics and Gynecology, Faculty of Health Sciences, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel. liril@post.bgu.ac.il.ORCID 0009-0002-7717-9873
Gil GutvirtzDepartment of Obstetrics and Gynecology, Faculty of Health Sciences, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Tamar WainstockDepartment of Epidemiology and Health Services Evaluation, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Gali ParienteDepartment of Obstetrics and Gynecology, Faculty of Health Sciences, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Eyal SheinerDepartment of Obstetrics and Gynecology, Faculty of Health Sciences, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCesarean delivery (CD) is the most common obstetrical surgery with increasing rates worldwide. Although considered relatively safe, intra- and post-operative complications have been reported. One rare, but significant, complication after CD is relaparotomy. The present study was conducted to define risk factors for relaparotomy following a CD.

methodsA case-control study was conducted comparing all singleton CD that occurred in a tertiary medical center between the years 1991 and 2021. CDs complicated by relaparotomy (defined as the reopening of the fascia) were compared with CDs that were not complicated by relaparotomy. Generalized estimation equation (GEE) models were constructed to control for confounding variables.

resultsDuring the study period, 49,922 CDs met our inclusion criteria, of them, 97 (0.2%) had undergone relaparotomy. The group of women complicated with relaparotomy tended to be multiparous and to have undergone a previous CD. Furthermore, these women had higher rates of placental complications (placenta previa, abruption and placenta accreta), preterm delivery, preeclampsia and chorioamnionitis. They also had higher rates of cervical tears and post-partum hemorrhage. Their neonates had lower birth weight and lower 5 min Apgar scores. In a GEE model, several independent risk factors for relaparotomy following CD were noted, with cervical tear being the most prominent (adjusted OR = 27.15, 95%CI 9.32 - 79.13, p < 0.001).

conclusionIndependent risk factors for relaparotomy following CD include cervical tear, placenta previa and accreta, placental abruption, preterm delivery, preeclampsia, and a previous CD. These risk factors should be taken into account when dealing with high-risk patients expected to undergo repeated CD.

Indexed as

Cesarean SectionLaparotomyPostoperative ComplicationsReoperationAdultCase-Control StudiesFemaleHumansInfant, NewbornPostpartum HemorrhagePregnancyRetrospective StudiesRisk FactorsCervical tearCesarean deliveryPlacental abnormalitiesPregnancy complicationsRelaparotomyRisk factors

Identifiers

PMID41042327
PMCPMC12705735

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