Objective: To ascertain the frequency and risk factors for post-operative surgical site infection (SSI) in cesarean section. Study Design: Cross-sectional study. Setting: Departments of Gynecology & Obstetrics and Anesthesiology, Secondary Care Hospital. Period: January to December 2017. Material & Methods: After the approval of hospital ethical committee, 337 parturient who underwent cesarean section were included in our study. Outcomes were: frequency and risk factors for post-cesarean wound infection. Data was analyzed by SPSS version 20. Qualitative data presented as frequency and percentage. Chi-square (Fishers test) used to analyze significance. P-value ≤ 0.05 taken as significant. Results: A total of 337 patients were included in our final analysis. The frequency of wound infection was 15 (4.4%). The mean age was 27.5 years ± 5.8 in our study population. There was no difference in age (p=0.781), parity (p=0.898), antenatal visits (p=0.319), referral from doctor (p=0.205), anemia (p=0.731), nature of surgery (elective or emergency LSCS) p=0.548, severity of anemia (p=0.962), blood grouping Rh-factor (p=0.531), chorioamnionitis (p=0.707), labor (p=0.955), premature rupture of membrane (p=0.427) and antepartum hemorrhage (p=0.769). 11 (3.3%) of the patients with SSI were treated conservatively while 4 (1.2%) required debridement and secondary suturing. None of our patients required referral to tertiary care hospital for treatment of SSI. Conclusion: The incidence of SSI after cesarean section was less in our study and we didn’t find maternal age, gestational age, previous cesareans delivery, antenatal visits, PROM, labor before LSCS, anemia to be associated with risk of SSI.

Objective: To evaluate the association of increased uric acid in pregnancy-induced hypertension with adverse perinatal outcomes. Study Design: Comparative cross-sectional study. Place and Duration of Study: Departments of Anesthesia, Gynecology & Obstetrics, Combined Military Hospital, Okara Pakistan, from Mar to Sep 2018. Methodology: After approval of the Hospital Ethical Committee, 106 patients with pregnancy-induced hypertension were included in our study (n=53 in each group). Group-A had patient with raised uric acid, whereas Group-B had normal uric acid. Perinatal outcomes were monitored prospectively. Results: There was no difference in demographic profile of the two study groups. Raised uric acid was shown to be associated with a higher cesarean mode of delivery (p=0.014); preterm delivery (0.001); intrauterine growth retardation (0.038); and low APGAR at 5mintues (0.008). Raised uric had a sensitivity greater than 65% and specificity greater than 50% for perinatal outcomes. Conclusion: Raised uric acid is associated with adverse perinatal outcomes in neonates.

Objective: To evaluate the factors for perioperative patient satisfaction in parturient undergoing lower section cesarean section, with a view assess anesthesia quality. Study design: cross sectional, analytical study Place and Duration of study: Department of Anesthesiology and Gynecology & Obstetrics, Combined Military Hospital, Okara Cantt for 04 months from January to April 2019. Material and method: A total of 400 parturient undergoing cesarean section were included in our study. The patients were given a questionnaire to fill on discharge. Our outcomes were frequency of patient satisfaction and various factors affecting it. SPSS version 20 was used to analyze data. Mean ± SD was described for quantitative variables and frequency (percentage) for qualitative variables. T-test and chi square used to analyze significance. p-value ≤0.05 taken as significant. Results: A total of 400 questionnaires were assessed in final analysis. The overall patient satisfaction was 382 (95.5%) with 4 (1%) showing dissatisfaction; whereas 14 (3.5%) didn’t answer this question. 395 (98.8%) underwent LSCS under spinal anesthesia. There wasno difference in patient satisfaction in regards to intra-operative concern alleviation, discomfort, previous number of LSCS, parturient age, choice of anesthesia; p value > 0.05. There was higher dissatisfaction in patients who experienced post-operative complaints, most notably pain; p=0.000. Patient satisfaction was higher in mothers who experienced joy on hearing their newborns cries; p=0.000 Conclusion: The overall patient satisfaction in our study was high and only few factors causing patient dissatisfaction which included postoperative complaints most notably pain.