title: Short-term postnatal quality of life in women with previous Misgav Ladach caesarean section compared to Pfannenstiel-Dorffler caesarean section method.
abstract: OBJECTIVE
  To examine whether short-term postnatal health-related quality of life differed among women after different methods of cesarean sections.
  
  
  METHODS
  One hundred forty-five women were evaluated with previous CS (85 by Misgav Ladach and 60 by Pfannenstiel-Dörffler). Short-time quality of life was measured using the Croatian version of Short Form Health Survey (SF - 36). Short-term postoperative recovery was assessed using two criteria: febrile morbidity and degree of pain. Incidence of peritoneal adhesions was assigned using Bristow scoring system.
  
  
  RESULTS
  Four weeks after delivery women with previous Misgav Ladach cesarean section significantly scored higher on the bodily pain (72.4 vs. 56.7, p < 0.05), social functioning (71.5 vs. 60.4, p < 0.05), and the vitality (61.7 vs. 50.3, p < 0.05) subscales. These differences disappeared in the second assessment (12-weeks postpartum) except in the bodily pain (74.7 vs. 61.2, p < 0.05) subscale. There was a significant trend toward a higher requirement for postoperative analgesics in the Pfannenstiel-Dörfler group (doses: 5.4 vs. 8.7, p < 0.05; hours: 17.9 vs. 23.3, p < 0.05), and they had a significantly higher rate of febrile morbidity than the Misgav Ladach group (5.7 vs. 9.4%, p < 0.05). Hospitalization time was reduced in the Misgav Ladach group (4.2 vs. 7.3, p <\ 0.05). The incidence of adhesions was significantly lower in patients who had undergone a previous operation using the original Misgav Ladach method (0.47 vs. 0.77, p < 0.05).
  
  
  CONCLUSIONS
  Misgav Ladach cesarean section method might lead to better short-time quality of life resulting in reducing postoperative complications compared to Pfannenstiel-Dörfler cesarean section method.
authors.affiliation: Clinic for Gynecology and Obstetrics, University Clinical Center, Tuzla, Bosnia and Herzegovina.
authors.forename: Zlatan
authors.initials: Z
authors.lastname: Fatušić
authors.forename: Igor
authors.initials: I
authors.lastname: Hudić
authors.forename: Osman
authors.initials: O
authors.lastname: Sinanović
authors.forename: Mirela
authors.initials: M
authors.lastname: Kapidžić
authors.forename: Nešad
authors.initials: N
authors.lastname: Hotić
authors.forename: Asim
authors.initials: A
authors.lastname: Musić
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000379:methods* / Q000534:rehabilitation; D005260:Female; D006801:Humans; D036801:Parturition / Q000502:physiology / Q000523:psychology; D011183:Postoperative Complications / Q000453:epidemiology / Q000523:psychology; D011184:Postoperative Period; D049590:Postpartum Period / Q000502:physiology* / Q000523:psychology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology / Q000601:surgery; D011256:Pregnancy Outcome / Q000453:epidemiology / Q000523:psychology; D018566:Pregnancy, High-Risk / Q000502:physiology; D011788:Quality of Life; D013997:Time Factors; D055815:Young Adult