DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20214854

Puerperal complications in elective versus emergency caesarean deliveries

Ashka Joshi, Maulesh Modi, Ami Shah, Kanupriya Singh, Haresh Doshi

Abstract


Background: The aim of current study was to compare puerperal complications in elective vs emergency caesarean section. Though similar complications occur in elective and emergency caesarean sections, this study aims to find out which complications are more common in either of them.

Methods: A prospective case comparative study was conducted at GCS Medical College and Hospital, Department of Obstetrics and Gynecology, Ahmedabad from 01 December 2020 to 01 June 2021.

Results: The emergency caesarean section (CS) rates (36) were more common in the age group of 21-25 years than the elective CS (32). Emergency CS was most common in primipara women (69). The most common risk factor is previous known history of hypothyroidism and most common indication is known history of previous lower segment caesarean section (LSCS). 10 patients in elective CS and 8 patients in emergency CS had previous LSCS. Body mass index (BMI) of 26 patients in elective CS was ranging between 24.9-29.9 kg/m2 when compared to 28 patients with similar BMI in emergency CS. Overweight patients underwent more emergency CS when compared to elective CS. Most common intra-operative complication was adhesions between rectus sheath and muscle and second most common was dense adhesion. Most common post op complication was breast engorgement and mastitis.

Conclusions: There is a significant difference between the number of patients in elective and emergency CS group when common indications are seen (p<0.05). Similarly, statistically significant is observed between the 2 groups when post-operative complications are observed (p<0.05).


Keywords


Caesarean section, Elective, Emergency, Complications

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References


Sheet IF. NFHS-4 (National Family Health Survey-4). Int Inst Popul Stud. 2017;10:1350281.

World Health Organization. Appropriate technology for birth. Lancet. 1985;2:436-7.

Adashek JA, Peaceman AM, Lopez-Zeno JA, Minogue JP, Socol ML. Factors contributing to the increased cesarean birth rate in older parturient women. Am J Obstet Gynecol. 1993;169(4):936-40.

Franz MB, Husslein PW. Obstetrical management of the older gravida. Women’s Heal. 2010;6(3):463-8.

Briand V, Dumont A, Abrahamowicz M, Traore M, Watier L, Fournier P. Individual and institutional determinants of caesarean section in referral hospitals in Senegal and Mali: A cross-sectional epidemiological survey. BMC Pregnancy Childbirth. 2012;12.

Guihard P, Blondel B. Trends in risk factors for caesarean sections in France between 1981 and 1995: lessons for reducing the rates in the future. BJOG. 2001;108(1):48-55.

Villar J, Carroli G, Zavaleta N, Donner A, Wojdyla D, Faundes A, et al. Maternal and neonatal individual risks and benefits associated with caesarean delivery: multicentre prospective study. BMJ. 2007;335:1025.

Renuka PA, Suguna V. Comparative study of maternal and foetal outcomes in patients undergoing elective or emergency Caesarean section. J Med Sci Clin Res. 2016;4(12):15059-69.

Gayathry D, Guthi VR, Bele S, Vivekannada A. A study of maternal morbidity associated with caesarean delivery in tertiary care hospital. Int J Community Med Public Heal. 2017;4(5):1542.

Ecker JL, Chen KT, Cohen AP, Riley LE, Lieberman ES. Increased risk of cesarean delivery with advancing maternal age: Indications and associated factors in nulliparous women. Am J Obstet Gynecol. 2001;185(4):883-7.

Castro LC, Avina RL. Maternal obesity and pregnancy outcomes [Internet]. Vol. 14, Current Opinion in Obstetrics and Gynecology. Curr Opin Obstet Gynecol. 2002;601-6.

Morken N-H, Klungsøyr K, Magnus P, Skjærven R. Pre-pregnant body mass index, gestational weight gain and the risk of operative delivery. Acta Obstet Gynecol Scand. 2013;92(7):809-15.

Frequency and indications of cesarean section in a tertiary care hospital. Available at: https://www.pjms.com.pk/issues/octdec109/article/article17.html. Accessed on 01 July 2021.

Onah HE, Ibeziako N, Umezulike AC, Effetie ER, Ogbuokiri CM. Decision - delivery interval and perinatal outcome in emergency caesarean sections. J Obstet Gynaecol (Lahore). 2005;25(4):342-6.

Khan FA, Khan M, Ali A, Chohan U. Estimation of blood loss during Caesarean section: an audit. J Pak Med Assoc. 2006;56(12):572-5.