A Study on Intra-Operative Difficulties in Repeat Caesarian Sections
Journal Title: International Journal of Contemporary Medical Research - Year 2016, Vol 3, Issue 1
Abstract
Introduction: Caesarian section has become better with sophistication in anaesthesia and surgery, however little is known about the intra-operative difficulties involved in multiple caesarian sections. Therefore, the aim of the present study is to know type of intra-operative difficulties encountered and prevalence of those difficulties in proportion. Material and method: The study was conducted in a tertiary care hospital. 100 subjects were included for the study by using inclusive and exclusive criteria. The data compiled in excel and compared with various variables like age, registration of the cases during pregnancy period etc. In the study, reasons for adopting caesarian type of delivery were assessed and type of difficulties faced during surgery was analyzed. Results: 46% of cases were in the age group of 18-23 years & 48% in the age group of 23-28 years. 62% of the cases were booked for safe delivery. Emergency caesarian was done in 28% of cases. The following are the indications for present caesarians: CPD-16%, previous 2 caesarians-35%, foetal distress 18% and miscellaneous-31%. Low transverse incision was given in 96% of cases. In the intra-operative complications, 46% of the complications related to adhesions. The second commonest complication is hemorrhage. In 11% of cases bladder related complications were observed. Conclusion: Adhesions and haemorrhages are the major complications in intra-operative period of repeat caesarian section. Adhesion not only slowed down the surgical procedure but also necessitated the change of surgeon to more experienced one.
Authors and Affiliations
B. Damayanthi, Manjula Devi
Keywords
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A Study on Intra-Operative Difficulties in Repeat Caesarian Sections
Introduction: Caesarian section has become better with sophistication in anaesthesia and surgery, however little is known about the intra-operative difficulties involved in multiple caesarian sections. Therefore, the aim...