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Cesarean delivery and risk for postoperative adhesions and intestinal obstruction: a nested case-control study of the Swedish Medical Birth Registry

Andolf, Ellika; Thorsell, Malin and Källén, Karin LU (2010) 30th Annual Meeting of the Society-for-Maternal-Fetal-Medicine In American Journal of Obstetrics and Gynecology 203(4).
Abstract
OBJECTIVE: The objective of the study was to estimate the risk for postoperative adhesions and intestinal obstruction after cesarean delivery and to estimate whether the rate remains stable over time. STUDY DESIGN: Women who had the aforementioned diagnoses in the Swedish Hospital Discharge Registry were linked to the Swedish Medical Birth Registry. Women with diagnoses increasing the risk for adhesions were excluded. More than 900,000 women were investigated. Risks were calculated and were adjusted for age, parity, body mass index, and smoking. RESULTS: Women delivered by cesarean delivery had an increased risk of adhesions: adjusted odds ratio, 2.1 (95% confidence interval, 1.8-2.4) and intestinal obstruction: adjusted odds ratio, 2.0 (... (More)
OBJECTIVE: The objective of the study was to estimate the risk for postoperative adhesions and intestinal obstruction after cesarean delivery and to estimate whether the rate remains stable over time. STUDY DESIGN: Women who had the aforementioned diagnoses in the Swedish Hospital Discharge Registry were linked to the Swedish Medical Birth Registry. Women with diagnoses increasing the risk for adhesions were excluded. More than 900,000 women were investigated. Risks were calculated and were adjusted for age, parity, body mass index, and smoking. RESULTS: Women delivered by cesarean delivery had an increased risk of adhesions: adjusted odds ratio, 2.1 (95% confidence interval, 1.8-2.4) and intestinal obstruction: adjusted odds ratio, 2.0 ( 95% confidence interval, 1.7-2.4). The number needed to harm was 360. Multiple caesarean deliveries increased the risk of adhesions. The risk did not increase over time. CONCLUSION: The absolute risk of postoperative adhesions and intestinal obstruction after cesarean section are low but should be included when counseling women requesting cesarean delivery. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Chapter in Book/Report/Conference proceeding
publication status
published
subject
keywords
obstetric labor complications, adhesions, bowel obstruction
in
American Journal of Obstetrics and Gynecology
volume
203
issue
4
publisher
Mosby-Elsevier
conference name
30th Annual Meeting of the Society-for-Maternal-Fetal-Medicine
external identifiers
  • wos:000282287000057
  • scopus:77957345160
ISSN
0002-9378
1097-6868
DOI
10.1016/j.ajog.2010.07.013
language
English
LU publication?
yes
id
05281847-1d74-4f99-9510-4d01b794651a (old id 1695700)
date added to LUP
2010-10-25 15:42:09
date last changed
2018-06-24 03:02:27
@inproceedings{05281847-1d74-4f99-9510-4d01b794651a,
  abstract     = {OBJECTIVE: The objective of the study was to estimate the risk for postoperative adhesions and intestinal obstruction after cesarean delivery and to estimate whether the rate remains stable over time. STUDY DESIGN: Women who had the aforementioned diagnoses in the Swedish Hospital Discharge Registry were linked to the Swedish Medical Birth Registry. Women with diagnoses increasing the risk for adhesions were excluded. More than 900,000 women were investigated. Risks were calculated and were adjusted for age, parity, body mass index, and smoking. RESULTS: Women delivered by cesarean delivery had an increased risk of adhesions: adjusted odds ratio, 2.1 (95% confidence interval, 1.8-2.4) and intestinal obstruction: adjusted odds ratio, 2.0 ( 95% confidence interval, 1.7-2.4). The number needed to harm was 360. Multiple caesarean deliveries increased the risk of adhesions. The risk did not increase over time. CONCLUSION: The absolute risk of postoperative adhesions and intestinal obstruction after cesarean section are low but should be included when counseling women requesting cesarean delivery.},
  author       = {Andolf, Ellika and Thorsell, Malin and Källén, Karin},
  booktitle    = {American Journal of Obstetrics and Gynecology},
  issn         = {0002-9378},
  keyword      = {obstetric labor complications,adhesions,bowel obstruction},
  language     = {eng},
  number       = {4},
  publisher    = {Mosby-Elsevier},
  title        = {Cesarean delivery and risk for postoperative adhesions and intestinal obstruction: a nested case-control study of the Swedish Medical Birth Registry},
  url          = {http://dx.doi.org/10.1016/j.ajog.2010.07.013},
  volume       = {203},
  year         = {2010},
}