Frequency of Maternal Morbidity with three or more Cesarean Sections – A Cross-Sectional study
Sahira Agha, Naveera Agha, Kalavanti, Duriya Rehmani, Falak Dahar, Shaista Bashir Anwar
1361
Abstract
Objectives: To examine maternal morbidity in terms of
hemorrhage, intraperitoneal adhesions and placenta previa after three or more
Cesarean sections.
Study Design: Cross-sectional study
Place and Duration: This study was conducted
at Obstetrics and Gynaecology, Lady
Dufferin Hospital, Karachi for duration of six months from 15th September,
2019 to 15th March, 2020.
Methods: After taking informed consent, women with a
history of three or more cesarean sections with age between 25 to 40 years and
gestational age between 28 to 40 weeks were included in the study. The data was
collected on a questionnaire and the patients were assessed for significant
hemorrhage, intraperitoneal adhesions and placenta previa and subgroup
comparisons made according to Maternal Age, Gestational Age and history of
previous C-section. Analysis was done on SPSS version 18
Results: In our study population, mean age was 32±4.5 years, mean parity 4.1±1 and mean gestational
age 35.7±3.4 weeks. The observed frequency of maternal morbidity in women with
three or more cesarean sections was significant hemorrhage of more than
>1000 ml in 13.1%, intraperitoneal adhesions 23.4% and placenta previa 9%.
Conclusions: It is concluded from this study that the
Frequency of maternal morbidity was hemorrhage >1000 ml 13.1%,
intraperitoneal adhesions 23.4% and placenta previa 9%.
Keywords: Maternal morbidity, multiple C-sections,
placenta previa, intraperitoneal adhesions, hemorrhage