Intra-operative complications in repeat cesarean sections

Abstract

Aims and Objectives: To study the intra-operative complications in repeat Cesarean sections. Methodology: This is a prospective observational study at Government Maternity Hospital, Tirupati randomly taking 200 women with repeat cesarean sections, excluding women with a history of other abdominal surgeries, intra operative complications were noted and the data is analysed using SPSS software. Results: Out of 200 cases 117 had one, 22 had two and 1case had three prior cesarean sections out of which 43% showed intra-operative complications, most common complications being adhesions (83.72%), thinned out lower uterine segment (37.2%), hemorrhage (10.9%), abnormal placentation (8.13%), extension of the uterine incision (6%), scar dehiscence (4.65%), bladder injury (1.2%). Conclusion: women undergoing repeat cesarean sections have a risk of increased morbidity due to increased intraoperative complications. To avoid this one should keep the cesarean section rate at reasonable limit with appropriate surgical techniques and to limit primary cesarean section rate.