Difficulties encountered at Cesarean section

Abstract

Objective: To evaluate common difficulties encountered by the trainee registrars at C/Section. Design: An observational study. Place and Duration of Study: The Department of Gynae and Obstetrics Unit-II SIMS/Services Hospital, Lahore from 16th February to 16th September 2005. Patients and methods: One hundred cases of C/Section both emergency and elective were included. Almost all were done by trainee registrars and supervised by Senior Registrars. Common difficulties faced by trainees at C/Section were noted. Results: Out of 100, 59 were elective and 41 were emergency C/Sections. All were lower uterine segment C/Sections done on term or near term pregnancies. The commonest indication was previous scar (69) while 31 were primary C/Sections. The major problems encountered included difficulty to approach lower uterine segment due to adhesions formation (45), difficulty in delivering the baby from uterus (39) and the problem faced while securing haemostasis (31). One problem not directly related to C/Section noted was pricks to the surgeons in Hepatitis B & C positive patients. Three cases were noted leading to frustration and depression in the involved doctors.