Abstract
Cesarean Section is the most common obstetrics surgery done for both maternal and fetal indications. There is a rising trend of cesarean section rates which is associated with increased maternal morbidities. This study aims to find out the prevalence of repeat Cesarean Section among women with previous cesarean sections done in a tertiary centre. This was a descriptive cross-sectional study conducted in a tertiary care hospital of Nepal from August 2020 to January 2021. Pregnant women with previous Cesarean Section status without other pelvic surgery and medical comorbidities were included and data were collected regarding intraoperative findings. Ethical approval was taken from the Institutional Review Committee (Reference Number: 14). A convenience sampling technique was used. Data were analysed using Statistical Package for the Social Sciences version 22. Point estimate at 95% Confidence Interval was calculated, with frequency and percentage. Out of 1315 patients undergoing Cesarean Section, the prevalence of Repeat Cesarean Section was found to be 184 (13.99%) (12.11-15.86 at 95% Confidence Interval). The prevalence of Repeat Cesarean Cection from our study was similar to other studies done in similar settings. Repeat Cesarean Cection confers peri-operative morbidities which adversely affect postoperative recovery. Repeat Cesarean Cection continues to contribute to morbidity over subsequent pregnancies and serious maternal morbidity.
Highlights
Cesarean Section is the most common obstetrics surgery done for both maternal and fetal indications
Out of 1315 patients undergoing Cesarean section, the prevalence of repeat Cesarean section was found to be 184 (13.99%) (12.11-15.86 at 95% Confidence Interval). Among these patients with repeat Cesarean section, most of the cases were in their second gravida followed by third and fourth, and fifth gravida, and 2 cases underwent cesarean section on the seventh gravida (Figure 1)
Cephalopelvic disproportion was the most common indication for repeat cesarean section followed by fetal distress, oligohydramnios, and so on (Table 1)
Summary
Cesarean Section is the most common obstetrics surgery done for both maternal and fetal indications. There is a rising trend of cesarean section rates which is associated with increased maternal morbidities. Cesarean Section (CS) is the most common surgery performed in modern obstetrics and performed for both maternal indications and fetal indications.[1] The CS rate has increased drastically over the past two decades. This study aims to find out the prevalence of repeat cesarean section among Caesarean sections in JNMA I VOL 60 I ISSUE 245 I JANUARY 2022
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