الفهرس 
List of contentsOnly 14 pages are availabe for public view
 |  | from | 70 |  |  |
| | | from | 70 | | |
Abstract
The rate of cesarean section (CS) deliveries has increased dramatically worldwide in the last decades Multiple cesarean sections associated with increased risk of placenta previa, abdominal adhesions, bladder, bowel, and ureteric injuries, uterine dehiscence, and uterine rupture. Cesarean hysterectomy is one of the dreaded major complications of multiple cesarean sections. Post-operative complications of multiple cesarean sections include; wound infections, deep venous thrombosis, urinary tract infection, and blood transfusionsAbdominal and pelvic adhesions are fibrous, band-like structures that form between abdominal organs when prior surgeries induces inflammation and disrupts normal tissue The current study aims mainly to compare the rate of adhesions based on number of CSs160 patients were taken and divided into two groups : women with ≤ 3CS(100 patient) and women with ≥ 4 CS(60 patient). In the first group 15 women had dense adhesions, 43 had filmy adhesions and 42 had no adhesions In the second group 42 women had dense adhesions, 15 women had filmy adhesions and only 3 had no adhesions The current study revealed that operative data of both groups had many significant differences where women with ≥ 4 CS had significantly higher Nair’s score and modified Nair’s score. Frequency of bladder injury was significantly lower among women with ≤ 3CS . Women with ≥ 4 CS had significantly higher amount of suction and longer duration of operation. In conclusion, multiple cesarean sections associated with increased risk of intra-abdominal adhesions, bladder injury and longer operation time Post-operative complications include wound infections and blood transfusions.