Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
The most common obstetric procedure performed in daily practice is a Caesarean section. In post‐obstetric surgery patients, the most typical reasons for exploratory laparotomy include suspicion of internal injuries, vaginal bleeding, suspicion of distant organ harm and infection. Present study was aimed to study post caesarean section referrals with complications to tertiary care hospital. Material and Methods: Present study was retrospective, descriptive study, conducted referred cases with cesarean complications. In present study, 114 patients referred as post caesarean section with complications during study period. Mean age of patients was 25.6±5.7 years, majority were from 21‐35 years age group (69.3 %). Majority women were from rural area (59.65 %), were referred from Private hospital (71.05 %) and 36 (31.58 %) had BMI>25 kg/m2. In present study, majority patients were multiparous (81.58 %), underwent emergency surgery at referring hospital (81.58 %) and managed conservatively at referred hospital (61.4 %). Common causes for referral were anemia (77.19 %), decreased GCS (68.42 %), hypovolemic shock (48.25 %), thrombocytopenia (37.72 %), acute renal impairment (27.19 %) and use of ventilator (21.93 %). In present study, common complications observed were obstetrical complications such as post‐partum hemorrhage (57.89 %), Puerperal sepsis (20.18 %), Hellp syndrome (10.53%), Postpartum eclampsia (5.26 %) and Placenta increta (1.75 %). Majority underwent exploratory laparotomy (81.82 %), while others underwent secondary resuturing (18.18 %). Common interventions done were hysterectomy (54.55 %) and Internal iliac artery ligation (11.36 %). In present study, 13 maternal mortalities were observed (11.4 %), common due to medical causes (10.53 %) as compared to surgical causes (0.88 %). Common morbidities observed were ICU Admission (65.79 %) and Prolonged Hospital Stay (>10 days) (39.47 %). In present study, obstetrical complications were major cause of referral in post caesarean section patients.
How to cite this article:
A. Patil Ishwarya and V. Jadhav Sharvari. Retrospective Study of Post Caesarean Section Referrals with Complications to Tertiary Care Hospital.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.9.403.407
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.9.403.407