FREQUENCY OF REPEAT CAESAREAN SECTION AND ITS ASSOCIATED COMPLICATIONS IN A TERTIARY CARE HOSPITAL IN PAKISTAN

Mahum Shahabuddin Memon* and Khadijat-ul-kubra Yousfani

ABSTRACT

Objective: To observe the frequency of caesarean section and its associated complications. Study Design: Observational study. Place and Duration: Gynecology unit, ISRA university, Hyderabad from 20-2-2018 to 21-4-2018. Materials and Methods: 217 deliveries were observed with an exclusion of women having normal vaginal delivery and including a total of 60 caesarean section cases. Data was collected through preformed designed proformas by dividing the patients into 3 groups A, B and C on the basis of number of caesarean sections where Group A represents patients with less than 2 Caesarean sections, Group B represents patients with 2 caesarean sections and Group C represents patients with more than 2 caesarean sections. Statistical software SPSS version 21 was used to analyze the data variables. Results: Results were assessed on the basis of indications for first caesarean section, morbidities associated with caesarean section, decision taken for caesarean section. Breech presentation was seen to be the most common indication (21 patients, 42%) for first caesarean section. Various complications associated with caesarean section like post partum hemorrhage (p value= 0.36), Anemia was seen to be the most common complication (43%) associated with caesarean section (p value =0.36), urinary tract infections (p value= 0.5) and wound infections (p value= 0.15), the highest p value observed in patients with more than 2 caesarean sections (Group C). In 54 cases (87%) the decision was taken by the doctor due to various complications during pregnancy. Conclusion: Frequency of caesarean section is increased if this is opted as a mode of delivery and avoid undue first caesarean section to reduce the frequency of caesarean section.

Keywords: Caesarean section, complications.