Comparative study of maternal morbidity in primary versus secondary cesarean section

Abstract

Background: Caesarean section is one of the most common surgical interventions in modern obstetrics. Caesarean section rate has steadily increased from 5 to 15%, the reason being avoidance of mid forceps, vaginal breech delivery, use of electronic fetal monitoring during labor and due to the most common concept that caesarean section will reduce perinatal natal mortality. Aims and Objectives: To study the intraoperative and postoperative complications in primary as well as secondary Caesarean section up to one week post-operative period. Methods: Prospective observational study of which 200 women were primary caesarean section and 200 secondary sections. Patients evaluated for intraoperative and postoperative complication and followed up to discharge. Results: Out of 400cases 200 women were in primary caesarean section and 200 secondary caesarean section women were in group. Out of 400 cases 182 women were in the age group of 20 -25 years followed by 150 between 26-30 years. In present study most common indications of primary caesarean section were fetal distress 84 (42%). The most common intra operative complications in primary c section is postpartum hemorrhage 47 (23.5%) and adhesions 48% in secondary caesarean section. Post-operative complications being post-operative anemia 10% is significant. The findings are observed are statistically significant p