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REASONS OF INFERTILITY IN FEMALES APPEARED WITH CESAREAN SECTION

Dr Hina Malik, Dr Aanisa Majeed, Dr Rimsha Alamdar

Objective: Cesarean section and infertility are very vital medical entities in the field of gynecology. The relationship of infertility and cesarean surgery normally performed to reduce the high morbidity as well as mortality rate. The aim of study is to examine the reasons of the infertility in females appeared with cesarean section in the most recent pregnancy. Methodology: This is a prospective research work based on observations, there were total 68 patients appeared from April 2016 to March 2019 but fifty-seven patients were fulfilling the standard of the research work. All these females delivered with the cesarean section in their most recent previous pregnancy. Results: Average age of the patients was sixty-eight patients was 32.20 years with range of age from twenty-three to thirty-eight years. Median parity of the patients was two having range from one to six. The average duration of the infertility among patients was 2.40 years. Total 13.20% (n: 9) out of sixty-eight cesarean sections were the recurring surgeries. Total 70.60% (n: 48) out of sixty-eight cesarean sections carried out in emergency. Three main causing signs for the surgery were long duration of obstructive labor in 42.60% (n: 29) cases, eclampsia of severe nature in 16.20% (n: 11) cases and failed labor induction in 13.20% (n: 11). Etiology of infertility among fifty-seven patients that satisfied the standards are tubal occlusion in 66.70% (n: 3) patients, intra-uterine adhesion in 15.80% (n: 9) patients, concomitant tubal-occlusion and intra-uterine adhesion in 12.30% (n: 7) and hyperprolactinemia present in 5.30% (n: 3) patients. Conclusion: In current research work, an important rate of the signs for cesarean sections and reasons behind infertility may have a relation with the perioperative sepsis of genital causing infertility. In time usage and convenience to the emergency services of the obstetric care can be very supportive to reduce the prevalence of infertility following these sections. KEY WORDS: Cesarean, Surgery, Delivery, Perioperative, Hyperprolactinemia, Infertility, Labor, Eclampsia.

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