• Manoj Pokhrel, Lakpa Dolma Sherpa, Meena Thapa, and Jyotshna Sharma.
• Department of Obstetrics and Gynaecology, Kathmandu Medical College and Teaching Hospital, Sinamagal, Kathmandu, Nepal.
• JNMA J Nepal Med Assoc. 2022 Jun 1; 60 (250): 517520517-520.

IntroductionAdhesions are one of the common complications encountered after caesarean section whose risk increases with the number of caesarean deliveries. This study aimed to find out the prevalence of intra-abdominal adhesions among patients undergoing repeat caesarean section in a tertiary care centre.MethodsA descriptive cross-sectional study was conducted on 74 pregnant women undergoing repeat caesarean section in the Department of Obstetrics and Gynaecology of a tertiary care centre from July, 2021 to December, 2021 after receiving the ethical approval from the Institutional Review Committee (Reference number: 2107202103). Pregnant women who met the eligibility criteria were included in the study. Convenience sampling was done. The severity of the adhesions was classified using the Tulandi and Lyell classification. Data were analysed using the Statistical Package for the Social Sciences version 26.0 software. Point estimate at 90% Confidence Interval was calculated along with frequency and percentage for binary data along with mean and standard deviation for continuous data.ResultsOut of 74 women undergoing repeat caesarean section, 55 (74.32%) (65.99-82.65 at 90% Confidence Interval) had developed intra-abdominal adhesions.ConclusionsOur study showed that the prevalence of intra-abdominal adhesions among patients undergoing repeat caesarean section was higher when compared to similar studies conducted in similar settings.Keywordspostoperative complications; repeat caesarean section; surgical adhesions.

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