EAS Publisher | Intraoperative Difficulties Encountered in Women Undergoing Repeat Caesarean Section

Intraoperative Difficulties Encountered in Women Undergoing Repeat Caesarean Section

DOI : https://doi.org/10.36349/easms.2018.v01i03.005

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Introduction: The incidence of Caesarean section is on the rising trend with overall rate in teaching hospitals in India being around 25%. Aim: To study the incidence and type of intraoperative difficulties encountered by obstetrician in women undergoing repeat Caesarean section. Materials and Methodology: This is a prospective study in a tertiary care centre on 200 patients undergoing repeat Caesarean section. Exclusion criteria: Primary Caesarean section, previous history of abdominal surgeries, previous 2 LSCS or more, previous classical caesarean section. Results: In our study, 64 subjects showed abdominal wall adhesions, 67 (35.5%) had adhesions of abdominal wall to anterior wall of uterus, 35 (17.5 %) had bladder adhesions, scar dehiscence was observed in 42 (23%) and scar rupture was seen in 1 (0.5 %) subjects. Conclusion: Repeat caesarean section is associated with high incidence of morbidity in terms of adhesions or scar dehiscence.

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