Outcomes and Complications After Repeat Cesarean Sections Among King Abdulaziz University Hospital Patients.

Khalid A Alshehri, Ahmed A Ammar, Meshal A Aldhubabian, Mohammed S Al-Zanbaqi, Ahyad A Felimban, Motaz K Alshuaibi, Ayman Oraif
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引用次数: 8

Abstract

Introduction: Cesarean section (CS) is a surgical procedure that often saves the lives of both the mother and the baby, while a previous CS is one of the main indications for cesarean delivery in current pregnancy.

Aim: Our aim was to determine the surgical and obstetrical outcomes and complication for the mother and the neonate after 4 or more CSs and compare it with mothers who had less than 4 previous CSs.

Methods: This case-control study was conducted by reviewing the records of all women who underwent multiple CSs from 2013 to 2018. Our study group comprised of 394 women who had 4 or more CSs, and our control group comprised of similar number of women who had previous history of two or three CSs.

Results: A total of 788 patients were enrolled in our study. We found that adhesions were the most common complications in our study group with a considerable increase in number of both moderate and severe adhesions in the study group compared to the controls with p-value of <0.001.

Conclusion: Increasing number of CSs leads to an increase of the complications risk. Among the complications, adhesions were the most common in our study group, followed by intraoperative bleeding.

阿卜杜勒阿齐兹国王大学医院患者重复剖宫产术后的结果和并发症。
引言:剖宫产(CS)是一种通常可以挽救母亲和婴儿生命的外科手术,而之前的CS是当前妊娠期剖宫产的主要适应症之一。目的:我们的目的是确定4次或4次以上CSs后母亲和新生儿的手术和产科结果及并发症,并将其与之前CSs少于4次的母亲进行比较。方法:本病例对照研究通过回顾2013年至2018年接受多次CS的所有女性的记录进行。我们的研究组由394名患有4种或4种以上CSs的女性组成,而我们的对照组由同样数量的既往有两种或三种CSs病史的女性组成。结果:共有788名患者参与了我们的研究。我们发现,在我们的研究组中,粘连是最常见的并发症,与p值为的对照组相比,研究组中中度和重度粘连的数量都显著增加。结论:CS数量的增加导致并发症风险的增加。在并发症中,我们研究组最常见的是粘连,其次是术中出血。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
1.80
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