Comparative study between cases of previous one cesarean section delivered at Kafr El-Sheikh hospitals, versus those delivered at Tanta Uniersity Hospital

Authors

  • Asmaa A. Mostafa Department of Obstetrics and Gynecology, Faculty of Medicine, Tanta University, Tanta, Egypt
  • Ahmed M. El-Khiat Department of Obstetrics and Gynecology, Faculty of Medicine, Tanta University, Tanta, Egypt
  • Adel E. El-Gergawey Department of Obstetrics and Gynecology, Faculty of Medicine, Tanta University, Tanta, Egypt
  • Mohammed M. Ismail Department of Obstetrics and Gynecology, Faculty of Medicine, Tanta University, Tanta, Egypt

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20223117

Keywords:

Caesarean section, Kafr El-Sheikh hospitals, Tanta uniersity hospital

Abstract

Background: Many factors have contributed to the increasing rates of CSs, including increases in maternal age, BMI, and changes in obstetric practices and technologies. CSs requested by the mother and fear of litigation among caregivers have now become one of the most common indications of CS. Aim of this study was to compare between conditions of previous one caesarean section subjects delivered at Kafr El-Sheikh general hospitals, versus those delivered at Tanta University hospital as regard integrity of the uterine scars, presence of adhesions, time of termination, and fetal outcomes.

Methods: This study was an observational study that was carried out on 100 pregnant ladies with history of previous one caesarean section. Participants were divided into two groups: group I included 50 pregnant women selected from Tanta University hospitals, group II included 50 pregnant women selected from Kafr El-Sheikh General hospital.

Results: The estimated blood loss was significantly higher in cases selected from Kafr El-Sheikh hospitals compared to that lost from cases selected from Tanta University hospitals. Furthermore, operation time was significantly longer in patients selected from Kafr El-Sheikh hospitals than those selected from Tanta University hospitals. Additionally, omental adhesion was observed in 5 cases (5%); 3 (6%) from those selected from Kafr El-sheikh hospitals and 2 (4%) from those selected from Tanta University hospitals. As regard post-operative blood transfusion, there were increase in the incidence of post-operative blood transfusion in pregnant women selected from Kafr El-Sheikh hospitals (8%) compared to those selected from Tanta University hospitals (4%), but without statistically significant difference (p=0.678).

Conclusions: There is high rate of caesarean section in our country. But satisfactory results were present in both Tanta university hospitals and Kafr El-Sheikh general hospital with few complication rates found special in cases priory delivered at Tanta University hospitals including less adhesion finding and thus less intra and post-operative complications.

References

Boerma T, Ronsmans C, Melesse DY, Barros AJ, Barros FC, Juan L, et al. Global epidemiology of use of and disparities in caesarean sections. Lancet. 2018;392(10155):1341-8.

Alkhamis F. Pregnancy outcome in women with previous one cesarean section. Experience from Kingdom of Saudi Arabia. Egypt J Hosp Med. 2019;77(3):5109-13.

Elnakib S, Abdel-Tawab N, Orbay D, Hassanein N. Medical and non-medical reasons for cesarean section delivery in Egypt: a hospital-based retrospective study. BMC Pregnancy Childbirth. 2019;19(1):1-11.

Rosa F, Perugin G, Schettini D, Romano N, Romeo S, Podestà R, et al. Imaging findings of cesarean delivery complications: cesarean scar disease and much more. Insights Imag. 2019;10(1):98-111.

Cegolon L, Mastrangelo G, Maso G, Dal Pozzo G, Ronfani L, Cegolon A, et al. Understanding factors leading to primary cesarean section and vaginal birth after cesarean delivery in the Friuli-Venezia Giulia Region (North-Eastern Italy), 2005-2015. Scient Rep. 2020;10(1):1-8.

Nkwabong E, Kayawa Monglo S, Mbu RE. The effect of primary cesarean section on subsequent delivery. J Pregnancy Child Health. 2015;2(129):2-10.

Gouyon JB, Ribakovsky C, Ferdynus C, Quantin C, Sagot P, Gouyon BC, et al. Severe respiratory disorders in term neonates. Paediatr Perinat Epidemiol. 2008;22:22.

Pereira G, Regan AK, Wong K, Tessema GA. Gestational age as a predictor for subsequent preterm birth in New South Wales, Australia. BMC Pregnancy Childbirth. 2021;21(1):1-7.

Diejomaoh MF, Al-Jassar W, Bello Z, Karunakaran K, Mohammed A. The relevance of the second cesarean delivery in the reduction of institutional cesarean delivery rates. Med Principles Pract. 2018;27(6):555-61.

Kafali H, İltemir-Duvan C, Gözdemir E, Simavli S, Onaran T, Keskin E. Influence of gum chewing on postoperative bowel activity after cesarean section. Gynecol Obstet Investig. 2010;69:84-7.

Abd-El-Maeboud KHI, Ibrahim MI, Shalaby DAA, Fikry MF. Gum chewing stimulates early return of bowel motility after caesarean section. BJOG. 2009;116:1334-9.

Akalpler O, Okumus H. Gum chewing and bowel function after Caesarean section under spinal anesthesia. Pak J Med Sci. 2018;34(5):1242.

Pereira SL, Silva TP, Moreira AD, Novaes TG, Pessoa MC, Matozinhos IP, et al. Factors associated with the length of hospital stay of women undergoing cesarean section. Rev Saud Public. 2019;53:1-8.

Alshehri KA, Ammar AA, Aldhubabian MA, Al-Zanbaqi MS, Felimban AA, Alshuaibi MK, et al. Outcomes and complications after repeat cesarean sections among King Abdul Aziz university hospital patients. Materia Soc Med. 2019;31(2):119.

Kamath BD, Todd JK, Glazner JE, Lezotte D, Lynch AM. Neonatal outcomes after elective cesarean delivery. Obstet Gynecol. 2009;113(6):1231.

Downloads

Published

2022-11-25

Issue

Section

Original Research Articles