Accuracy of Abdominal Striae Gravidarum, Scar Characteristics, and Pre-operative Sonographic Sliding Sign for Prediction of Intra-abdominal Adhesions in Pregnant Women with a History of Previous Cesarean Deliveries

Key Points

• The study aims to assess the accuracy of various predictors for intra-abdominal adhesions in pregnant women with a history of cesarean delivery.
• Prospective cohort study involving 180 women with previous cesarean deliveries.
• Assessment of striae gravidarum, scar characteristics, and sliding sign via transabdominal sonography.
• Intraoperative evaluation of adhesions using the Peritoneal Adhesion Index.
• Intra-abdominal adhesions identified in 7.2% of women undergoing repeat cesarean delivery.
• Striae gravidarum showed 84.6% sensitivity; the sliding sign had an accuracy AUC of 0.807.
• The Triple S Model achieved the highest discrimination with AUC of 0.877, sensitivity of 84.6%, and NPV of 98.6%.