CLINICAL STUDY OF POST OPERATIVE COMPLICATIONS IN REPEAT LOWER SEGMENT CAESAREAN SECTION

Abstract

Introduction: Caesarean section is the delivery of a new born after a period of viability through the creation of an incision on both the anterior abdomen and intact uterus.1 The rate of caesarean section has been raising globally over the past decades,giving women the obstetric status of “prior caesarean section”the raising CS rate raises the possibility of complications, particularly during the repeat procedure.2 Risk factors: Increased age of mother, multipara, multiple pregnancies,increased amount of amniotic fluid,prolonged labour,induced labour,general anaesthesia.Objectives:To study post operative complications among antenatal women with one are more previous caesarean section. Methods: Hospital based observational study done in Department of Obstetrics and Gynaecology at Katuri Medical College& Hospital , Guntur from March 2021 to December 2022. Sample size- 100. Results: Out of 100, 30 cases had post op complications. Ÿ Post partum hemorrhage – 33.3% Ÿ Urinary tract infection – 13.3% Ÿ Post partum blues – 6.7% Ÿ Surgical site infection –13.3% Ÿ Paralytic ileus – 10% Ÿ Hematoma – 6.7% Ÿ Wound dehiscence – 6.7% Ÿ Deep vein thrombosis – 3.3% Ÿ Pneumonia – 3.3% Ÿ Burst abdomen – 3.3% Conclusion: Meticulous post op monitoring is required to detect post op complications and treat them appropriately to prevent morbidity and mortality.