000			02836cam a2200325 a 4500
003			EG-GiCUC
008			210216s2020 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aM.Sc
099			_aCai01.11.15.M.Sc.2020.Mo.A
100	0		_aMohamed Shehta Ahmed
245	1	4	_aThe Association between body mass [ndex and intra-abdominal adhesions in women undergoing repeat caesarean sections / _cMohamed Shehta Ahmed ; Supervised Magdy Ibrahim Moustafa , Ghada Abdelfattah Abdelmoaty , Mohamed Ramadan Mohamed
246	1	5	_aالعلاقة بين معدل كتلة الجسم والتصاقات البطن فى السيدات اللاتى يخضعن لجراحات قيصرية متكررة
260			_aCairo : _bMohamed Shehta Ahmed , _c2020
300			_a106 P . : _bcharts , facsmilie ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Gynecology and Obstetrics
520			_aBackground: Obesity is a widely spread health problem the complications of which are too many whether general or obstetric complications. Methods: In this prospective observational study, a total of 232 pregnant ladies were included. They were divided into two groups to compare the degree of intra-abdominal adhesions between women with BMI less than 30 kg/m² (group 1) and those with BMI more than or equal to 30 kg/m² (group 2). We also subdivided group 2 candidates into 3 subgroups to compare different degrees of adhesions among them: {uF0B7} Group 2a: women with BMI between 30-35. {uF0B7} Group 2b: women with BMI between 35-40. {uF0B7} Group 2c: women with BMI more than 40. BMI of pregnant women was calculated on admission, preoperative hemoglobin was measured for each patient, the degree of adhesion intra-operative was observed according to Tulandi classification of adhesions. Bladder & bowel injuries were recorded. Post-operative hemoglobin for each case was measured. Results: The current study showed increased incidence of omental adhesions and adhesions between the uterus and abdominal fascia in group 2 more than group 1 but regarding adhesions between uterus & bladder and adhesions to other pelvic organs, the results were similar in both group. Women with BMI more than or equal to 30 kg/m² are at higher risk of hemoglobin drop during CS compared to those with BMI less than 30 kg/m². Bladder and bowel injuries were also similar in both groups
530			_aIssued also as CD
653		4	_aBMI
653		4	_aCaesarean section
653		4	_aObesity
700	0		_aGhada Abdelfattah Abdelmoaty , _eSupervisor
700	0		_aMagdy Ibrahim Moustafa , _eSupervisor
700	0		_aMohamed Ramadan Mohamed , _eSupervisor
905			_aAmira _eCataloger
905			_aNazla _eRevisor
942			_2ddc _cTH
999			_c79920 _d79920