International Journal of Science and Research (IJSR)

International Journal of Science and Research (IJSR)
Call for Papers | Fully Refereed | Open Access | Double Blind Peer Reviewed

ISSN: 2319-7064

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Research Paper | Obstetrics and Gynecology | India | Volume 12 Issue 5, May 2023

Intraoperative Difficulties in Repeat C-Sections

Pallavi A. Gajakosh | Vidya A. Thobbi [3]

Abstract: The hospital-based prospective observational cross-sectional study was under taken to assess intraoperative complications in women with repeat C-section. The study was conducted at a tertiary care center in the department of obstetrics and gynaecology at Al-Ameen medical college, Athani road, Vijayapur for the duration of 18 months. A total of 500 pregnant women with repeat CS willing to participate in the study were included in the study after obtaining written informed consent. A predesigned performa was used collect data regarding clinical, socio-economic variables. The particular difficulties encountered during surgery were noted and all the data was analyzed for type and incidence of intraoperative difficulties. The mean age of the women was 26.29?2.87 years. The majority (n=465, 93%) of participants were aged between 20-29 years. The maximum number of women (n=443, 88.6%) had one previous C-section. In 42% (n=210) of patients intraoperative complications were noted. The most common complication was adhesion (83.8%, n=176) followed by thinned our lower uterine segment (37.1%, n=78). In n=176 patients with adhesion, n=127 had combinations of adhesion including parietal peritoneum and anterior surface of uterus alone (n=90), and parietal peritoneum, anterior surface of uterus and the omentum (n=27). A significant association was found between intraoperative complications and previous C-section (P<0.05). Women undergoing repeated CS have a risk of increased morbidity due to increased intraoperative complications. To avoid this one should keep the CS rate at reasonable limit with appropriate surgical techniques and to limit primary CS rate.

Keywords: Adhesiolysis, caesarean section, Intraoperative complications, repeat caesarean section

Edition: Volume 12 Issue 5, May 2023,

Pages: 626 - 629

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