STUDY ON INTRA OPERATIVE AND POST OPERATIVE COMPLICATIONS ASSOCIATED WITH REPEAT CESAREAN SECTIONS AND ITS MATERNAL AND FETAL OUTCOME

Dr. Rita D. and *Dr. Ragha Latha

ABSTRACT

Background: Caesarean section (CS) is most common obstetric surgery performed worldwide. The risk of complications increases with increase in the number of caesarean section. The purpose of this study was to evaluate adverse maternal and fetal complications associated with pregnancies with repeat caesarean section. Methods: This is a prospective study done in department of OBG, navodaya medical college hospital and research centre. 100 pregnant women with history of one or 2 caesarean sections were included. In all cases thorough history, physical and obstetric examination, routine investigations were carriedout. All intra operative and post operative complications, maternal and fetal outcome are noted and the data is analysed. Results: In the present study majority of the cases were in 20-25 years age group (32%), the maximum number of caesarean sections were done between gestational age of 37-39.6 weeks (75.7% in 1 prev LSCS and 73.3% in 2 prev LSCS). most common indication being previous caesarean section(66.6% in 2 prev LSCS) and fetal distress(35% in 1 prev LSCS). Intraoperatively Adhesions was seen in 24% cases, Atonic PPH was seen in 5% cases. 10% neonates had APGAR score <8, neonatal death rate was 1%. Conclusion: Previous cesarean section is one of the most important causes of CS in subsequent pregnancies, Hence educating the patient during antenatal visits regarding Vaginal delivery and its benefits when compared to caesarean delivery and its complications, proper antenatal and intrapartum monitoring of patients are key to reduce the caesarean section rates.

Keywords: previous 1 and 2 caesarean section, scar rupture, maternal morbidity, NICU admissions.