Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 12 2 2026 02 22 158 162 Behzad Azimi Department of General Surgery, Imam Hossein Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Rabea Mohsen Ali Department of Maternal and Neonatal Nursing, College of Nursing, University of Kut, Wasit, 52001, Iraq. Shideh Ariana Department of Obstetrics and Gynecology, Preventative Gynecology Research Center, Imam Hossein Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. 2025 05 19 2025 05 26 Background: Intrauterine adhesion (IUA) typically occurs as a result of intrauterine trauma associated with a surgical procedure. This study aimed to assess the prevalence and risk factors of postoperative adhesions following repeated cesarean sections. Methods: In this registry-based study, data collection tools included a standardized registry checklist and the American Fertility Society (AFS) classification system for assessing IUA. The diagnosis of IUA was confirmed by an obstetrician-gynecologist, and the AFS scoring was performed by trained researchers responsible for completing the registry data. This study specifically focused on patients who were admitted to the Intensive Care Unit (ICU) of Ayatollah Taleghani Hospital in Ilam following their second cesarean delivery (CD). Within a defined timeframe, the incidence of IUA among these ICU-admitted patients was evaluated. The collected data were subsequently analyzed using SPSS statistical software. Results: According to the findings, out of 121 hospitalized patients, 35 (28.92%) patients were diagnosed with IUA. Out of 35 patients, 15 (42.9%) patients were in Stage I (mild), 13 (37.1%) patients were in Stage II (moderate), and 7 (20%) patients were in Stage III (severe). also, there was no difference between any of the variables in Table 1 and the stage of adhesions (P>0.05). Conclusion: Given that the rate of IUA has been significant, it is recommended that necessary preventive and therapeutic interventions be implemented to reduce its incidence, contributing factors, and related complications. https://aacc.tums.ac.ir/index.php/aacc/article/view/1291