Analysis of maternal complications in cesarean section

Abstract

This interventional quasi experimental study was carried out at Gynaecology Department, Jinnah Hospital Lahore to determine frequency, indications of emergency and elective caesarean sections and to establish a comparison of maternal complications. During one year period July 2003-june 2004 total birth were 3932.955 women underwent caesarean section which makes the rate of 24.3% in our unit. Out of 955, 713(74.6%) were emergency and 242(25.4%) were elective caesarean sections. Common indications in emergency group were fetal distress (26.21%), repeat section (18.9%), failed progress of labour (14.3%) and malpresention (13%). In elective group repeat section (48.7%), malpresentation (17.3%), cephalopelvic disproportion (10.8%) antepartum haemorrhage (8.3%) were common indications. 490(93.2%) patients in emergency group required blood transfusions mainly due to anemia and 36(6.8%) patients in elective group were transfused mainly due to placenta previa.54 women faced intraoperative complications.54(93.1%) belong to emergency group and 4(6.89%) belong to elective group. caesarean hysterectomy were done in 6 patients in emergency group. post operative complications were encountered in 162 patients.150(92.6%) were from emergency and 12(7.4%) were from elective group. Infective morbidity constituted the major post operative problem.