Maternal Outcomes and Complications after Repeated Cesarean Sections among Zagazig University Hospital Patients

Ali, Ali El-Shabrawy; Badr, Amira; El-Behairy, Manal Mohamed; Nosser, Waeel Sabry

doi:10.21608/zumj.2021.99566.2368

Maternal Outcomes and Complications after Repeated Cesarean Sections among Zagazig University Hospital Patients

Document Type : Original Article

Authors

¹ Obstetrics and Gynecology Department, Faculty of Medicine, Zagazig University, Egypt

² Department of Obstetrics and Gynecology, Faculty of Medicine, Zagazig University, Egypt.

10.21608/zumj.2021.99566.2368

Abstract

Background
Cesarean section (CS) is among the most common obstetric operations globally, and recent research shows a rise in the prevalence of CS. Maternal morbidity related to CS is a major public health concern across the world. This necessitates a study of the impact of recurrent CSs on mother morbidity.

Method
This Cross-sectional study was carried out on 165 women in Zagazig University Hospitals by analyzing the data and records of all women who underwent multiple repeated CSs. The women were allocated according to the number of CSs into 3 groups, the maternal complications as adhesions or blood transfusion requirements of all groups were examined retrospectively.

Results
Our results revealed that the most frequent complication was adhesion ~59.39%, followed by intraoperative hemorrhage and need for blood transfusion (19.4%), and the less frequent complication was endometritis and no maternal death. There was a significant difference between the groups regarding maternal age, BMI, hospital stay, and operative time, while no significance was found in pre/postoperative hemoglobin.

Conclusion
Our results endorse our assumption that the risk of maternal complications increases as the number of CSs increases. There is no clear absolute threshold for the number of CSs, but a total of 4 or more CS deliveries was identified as the critical level for most complications. Adhesions were the most prevalent complication in our research group, followed by intraoperative hemorrhage. To reduce related problems, the number of CSs must be reduced. The patient should be advised that vaginal birth after CS is an option.

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