TO ANALYSE PER OPERATIVE FINDINGS IN PATIENTS WITH REPEAT CESAREAN SECTION: A HOSPITAL BASED STUDY

Abstract

Introduction: Most of the patients with previous caesarean section undergo repeat caesarean section therefore previous cesarean section tends to make potential obstetric procedures at high risk and hence such women represent a high risk group in obstetrics. Aim: To analyse peroperative findings in pregnant women who are undergoing repeat cesarean section, to study the surgical difficulties being encountered in such women with previous cesarean section. Material and methods: This study was an observational study, conducted in the Department of obstetrics and gynaecology. We included a total of 100 cases of repeat cesarean section. We requested the operating surgeons to record all the difficulties they faced while operating a case of previous cesarean section. All the information that was recorded included maternal age, parity, number of previous cesarean section, type of cesarean section, type of abdominal and uterine incision and post-operative complications. Approximate blood loss was appreciated by soaked sponges and amount in suction jar. Results: The most frequent indication for performing a repeat cesarean section was fetal distress 28%, highest number 62% of patients were gravida 2, Estimated blood loss of < 500 ml in 69% cases and Blood transfusion was required in 12% of our cases, Pfannensteil skin incision was the most frequent skin incision given in 86% cases and most common type of adhesion was loose adhesion bladder to uterus in 32% cases. Conclusion: Thus in conclusion we can say that previous cesarean section should be considered important and the women and her family members should be educated about the need of routine antenatal care, and should decide wisely the mode of delivery for the well being of both mother and child and to prevent complications.