Study of intra operative difficulties in repeat caesarean sections
Journal Title: Medpulse International Journal of Gynaecology - Year 2018, Vol 8, Issue 2
Abstract
Background: The incidence of cesarean section is continuously rising giving women frequently an Obstetric status of “Previous Cesarean Section”. The timing and rate of increase are different from one country to another. In Medical Colleges and Teaching Hospitals in India the overall rate for cesarean deliveries is 24.4%. Aim: To study the type and incidence of Intra operative surgical difficulties encountered in repeat cesarean sections. Material and Methods: This prospective study was conducted in Gandhi Hospital from June 2010 to November 2012 in the Obstetrics and Gynaecology Department. 400 cases were taken for the Study. Among the 400 cases 350 cases were of previous one cesarean section and 50 cases were of previous two cesarean section. Results: Total number of deliveries were 8302. The cesarean section rate in our hospital is 38.48%. Among the total cesarean sections, the primary sections contribute to 60.62% and repeat sections contribute to 39.37%. Among the total number of repeat sections 400 cases are included in this study. Among the 400 cases 350 cases were of previous one cesarean section and 50 cases were of previous two cesarean section. Most common maternal intra operative complication noted was thinned out previous uterine scar occurring in 96(24%) cases. The complication rate is more with repeat sections of 2 previous cesarean section cases. Among the total bladder complications noted in 400 repeat cesarean section cases the most common complication was Drawn Up Bladder noted in 67 (16.75%) cases and the least common complication was Bladder Injury noted in 1 (0.25%) case. Conclusions: The Cesarean section is now safer than in the past, because of improvements in Anaesthesia, Antibiotics and Blood transfusion services, but still it carries a significant risk to the mother compared to a normal vaginal delivery. Complication rate increases with each number of repeat cesarean sections. Hence it is necessary to take measures to reduce the number of cesarean sections and to educate the people to limit their family size.
Authors and Affiliations
D Prasanna laxmi, M Balasaraswathi
Keywords
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- EP ID EP470464
- DOI 10.26611/101284
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