Several methods have been used to predict adhesions after abdominal operations. High-resolution ultrasonography, magnetic resonance imaging and scar healing properties were the methods that were evaluated in the English literature for this study. Estimating the likelihood of adhesions and related complications after prior surgery and assessing the severity of adhesion formation after surgery is not easy. Anticipating adhesions is very important to preventing complications by ensuring that the necessary preoperative preparations are in place and/or that appropriate cases are referred to a tertiary center.

Inclusion Criteria:

1. Women with at least previous one cesarean
2. Full term (37- 41 weeks)
3. Women accepted to participate in the study

Exclusion Criteria:

1. History of pelvic inflammatory disease
2. History of endometriosis
3. Previous pelvic surgery other than cesarean
4. History of wound site infections
5. History of long corticosteroid use
6. Women with midline incisions
7. Women with placenta accreta
8. Women refuse to participate in the study

All Women who will be admitted to our Labor Ward for emergency or elective cesarean section will be invited to participate.