The use of ultrasound sliding sign for prediction of adhesions in women undergoing repeated caesarean section

Figures & data

Figure 1. Study flowchart.

Table 1. Demographic characteristics of study women who undergoing repeat a caesarean section (n = 120).

Variable name	N	(%)
Maternal age (years), mean ± SD	26.70±5.01
Age groups (years)
<25 years old	42	35
25 to <30 years old	36	30
≥30 Years old	42	35
Parity, mean±SD (range)	2.49±1.12 (1.0–5.0)
1	25	20.8
2	40	33.3
3	32	26.7
≥4	23	19.2
Previous caesarean section, mean±SD	2.11±1.05 (1.0–5.0)
1	43	35.8
2	36	30.0
3	28	23.3
≥4	13	10.8
Place of delivery
Governmental	57	47.5
Private	63	52.5
Gestational age (weeks)
Term (≥37 weeks)	100	83.3
Preterm (33–36 weeks)	20	16.7
BMI at delivery (kg/m^2), mean±SD (range)	29.37±4.24 (19.78–44.44)
Normal	18	15
Overweight	49	40.8
Obese	53	44.2

Quantitative data are presented as mean±SD, qualitative data are presented as n (%).

Table 2. Associations between different demographic and clinical data and intra-abdominal adhesions in women with repeat caesarean delivery (n = 120).

		CS section findings				p Value
		Adhesion (n = 44)		No adhesion (n = 76)
		No.	%	No.	%
Age (years)
<25		7	16.7	35	83.3
25 to <30		14	38.9	22	61.1	.001*
≥30		23	54.8	19	45.2
BMI
Normal		3	16.7	15	83.3
Overweight		13	26.5	36	73.5	.004*
Obese		28	52.8	25	47.2
Parity
One	1		4.0	24	96.0
Two	12		30.0	28	70.0	.000*
Three	19		59.4	13	40.6
4–5	12		52.2	11	47.8
No. of previous CS
One	3		7.0	40	93.0
Two	13		36.1	23	63.9	.000*
Three or more	28		68.3	13	31.7
Place of delivery
Public	23		40.4	34	59.6	.426
Private	21		33.3	42	66.7
Gestational age (weeks)
Term (≥37)	31		31.0	69	69.0	.004*
Pre-term (33–36)	13		65.0	7	35.0

Qualitative data are presented as n (%).

*Significance defined by p<.05.

Table 3. Diagnosis of intra-abdominal adhesions based on sliding sign on trans-abdominal ultrasound and findings during caesarean section (CS), in 120 women undergoing repeated CS.

Adhesion (CS findings)	Sliding sign				Total	p Value
	Positive		Negative
	No.	%	No.	%
No adhesion	66	86.8	10	13.2	76	.000*
Adhesion	0	0.0	44	100.0	44
Total	66	55	54	45	120

^*Significance defined by p < .05.

Figure 2. ROC.