Comparative study of maternal morbidity in primary and repeat caesarean section

Abstract

Background: Caesarean section (CS) is the most common obstetric operative procedure worldwide with a continuously increasing incidence for the last couple of decades, giving the women, an obstetric status of “previous caesarean section. Hence here is a study to note the increasing incidence of complications as the number caesarean sections increase. Objectives: To study intra operative and postoperative maternal morbidity up to end of 1stweek in primary and repeat caesarean section in singleton pregnancies. Materials & Methods: This is a hospital based observational prospective clinical study of 100 primary and 100 repeat caesarean sections in term singleton pregnancies. Results: Present study was performed on randomly selected 200 cases of which 100 cases are primary and 100 cases are repeat caesarean. In our study incidence of Caesarean section was 33%, among them Repeat Caesarean accounted for 42.5%. The highest prevalence of caesarean was seen in age group of 23-27yrs (49%) and mean age was 27.5yrs. In our study highest incidence of complications was observed in women who underwent previous two caesarean sections, of which adhesions were observed in 36.5%, in primary-0%, 1st repeat-38%, 2nd repeat-72%. mean loss of Hb in primary-1.00, 1st repeat-1.07, 2nd repeat-1.47 and P-value-