- CODEN : IAJPBB
- issn 2349-7750
TITLE:
FETOMATERNAL MORBIDITY RELATED WITH MULTIPLE REPEAT CAESAREAN DELIVERIES
AUTHORS:
Dr Fatima Noor, Dr Zahra Hassan, Dr Mariam Mushtaq
ABSTRACT:
Aim: To determine the morbidity of fetuses and mothers associated with multiple cesarean deliveries. Study design: An Observational study Place and duration of studies: Gynecology and Obstetrics, Lady Aitchison Hospital, Lahore. The study period extended from May 2019 to May 2020. Methodology: This study included patients who had a repeat cesarean section were selected. They were divided into three groups. Group I n = 292, (GI) included women who had two cesarean deliveries, Group II n = 175, (G II) included women who had three cesarean deliveries, and group III n = 38, (G III) women who has had four or more deliveries by caesarean section. Intraoperative complications were observed in the form of dense adhesions, dehiscence of scars, anterior placenta, morbidly adherent placenta, damage to the surrounding internal organs, complications of anesthesia, blood transfusion and fetal outcome. Women with only one birth were excluded. Results: Compared with women after two cesarean sections, women who had more than two cesarean sections show a significant increase in adhesions, anterior placenta, placental union, and the need for obstetric hysterectomy. There was also a significant difference in the mean gestational age in the three groups. We found no significant increase between the 3 groups in terms of operative time, damage to surrounding structures, need for blood transfusions, and anesthetic complications. Conclusions: Women after re-cesarean section are at risk of many intraoperative complications, which may increase the risk of fetal and maternal morbidity, but their increasing number does not carry any additional risk. Key words: cesarean section / delivery, multiple repetitive cesarean section / delivery
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NLM ID:101711216 [Serial]
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ICV 2015 - 61.16
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