European Journal of Molecular & Clinical Medicine

Abstract

Background: Caesarean section is probably the most common surgical procedure carried out in the field of obstetrics in both industrialized and low-income countries.The risk of complications increases with increasing number of cesarean sections with subsequent adverse fetal and maternal. Present study was aimed to study various intraoperative complications observed in lower segment caesarean section (LSCS) surgeries at a District hospital.
Material and Methods: Present study was hospital based, prospective, observational study, conducted in LSCS surgeries conducted at our hospital, had intraoperative surgical complication/s.
Results: Incidence of intraoperative complications was 2.78 %. Incidence of Intraoperative complications were more previous 2 LSCS cases (34.02 %), followed by previous 1 LSCS cases (39.18 %), previous 3 LSCS cases (5.15 %), as compared to primary CS (9.28 %). Intra-operative complications noted were extension of uterine incision (32.99 %), difficult delivery (27.84 %), intra operative atonic post-partum haemorrhage (21.65 %), scar dehiscence (14.43 %), bleeding from placental bed (11.34 %), bladder injury (4.12 %) & placenta previa (3.09 %). Cases were managed with combination of various surgical interventions such as obstetric hysterectomy, step wise devascularization, uterine compression sutures, bladder repair, & transfusion of blood. Among those cases mortality was observed in 1 case(post-partum hemorrhage).
Conclusion: Preoperative assessment by history, previous records, ultrasonography (placental location & invasion) with intraoperative readiness for additional procedures is need of hour to reduce morbidity & mortality in patients undergoing LSCS.