Per operative findings in repeat cesarean section

Sinha, Parul; Gupta, Uma; Shrivastava, Jyotsna; Srivastava, Anand; Chauhan, Shilpi

doi:10.18203/2320-1770.ijrcog20160864

Cited by 2 publications

(1 citation statement)

References 7 publications

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“…11,12 Adhesions give rise to acute morbidity in form of bleeding during surgery, increased duration of surgery and injury to surrounding structures. In our study, the most common adhesion is between bladder and uterus (17.01%) which is very similar to the study done by Ramkrishnarao M A et al 13 In another study by Sinha et al 14 bladder to uterine adhesion is 30%.The second most common adhesion in our study is between parietal peritoneum to anterior wall of uterus (13.27%). Scar dehiscence is another important complication i.e.…”

Section: Discussionsupporting

confidence: 90%

Uterine Scar Condition and Complications Associated with Repeat Caesarean Section: A study in a Tertiary Care Hospital

Richa¹,

Mohanty²,

Priyadarshini³

2019

IJCMR

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Introduction: Lower segment cesarean section is the commonest surgical procedure in obstetrics. Repeating a cesarean section in subsequent pregnancies is the usual method of termination which involves many complications. Our objective was to study these complications and difficulties observed in a repeat cesarean section. Material and methods: It was a prospective observational study of 241 cases of repeat cesarean section from October 2017 to September 2018 in department of obstetrics and gynecology of Hi-Tech medical college and hospital, Bhubaneswar, odisha. Results: In this study, total 1610 patients are taken. Among these most common indication for cesarean section is CPD i.e56 (23%).Most common incidence of intraoperative complication of previous cesarean section is adhesion i.e. 124(51.61%). Conclusion: Maternal morbidity is a cause of concern in repeat cesarean section because of the intraoperative complications encountered during surgery and thereafter. Reduction in primary caesarean rate can reduce the complications. Patients with previous cesarean section are categorized as high risk and counselled for VBAC in suitable cases.

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Section: Discussionsupporting

confidence: 90%

Uterine Scar Condition and Complications Associated with Repeat Caesarean Section: A study in a Tertiary Care Hospital

Richa¹,

Mohanty²,

Priyadarshini³

2019

IJCMR

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“The War When You Already Have a Scar” -Study of Difficulties in Extraction of Baby in Previous Cesarean Section

Hotkar

Bhingare

Gadappa

et al. 2021

ijsr

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Background:The study of intraoperative difculties in extraction of baby in previous cesarean section Method:This is a tertiary centre based prospective observational study conducted in the department of Obstetrics and Gynaecology, at our tertiary health Care hospital between the study period October 2018-september 2020.A total 1200 cases of patients with previous cesarean section were studied . They are divided into number of previous scar and the intraoperative surgical difculty encountered by the surgeon in delivering the baby based on the consequences of scar from previous cesarean section. Results: The incidence of repeat cesarean section being 9.4%, among which only of 38% cases were encountered with difculties in cesarean section by the surgeons in the institute. Among which 26.3% cases were encountered with Adhesions,4.2% with difculty in delivery of baby, 1.5% cases needed assistance by senior surgeon in delivering baby and 6% among that had poor perinatal outcome. Conclusions: The common clinical entity of “previous cesarean section” in subsequent pregnancies, giving a high risk pregnancy status to the reference pregnancy. The risks associated with repeat cesarean section can be reduced by many measures including-vigorous ANC surveillance to reduce the risk of primary CS, intervention by operative vaginal delivery whenever needed, giving trial of labor in cesarean section(TOLAC) with skilled monitoring, counselling of patients regarding perineal exercises in pregnancy. Most complications will be recognized at the time of operation and easily corrected either by the operating surgeon or by seeking assistance from other specialties

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Per operative findings in repeat cesarean section

Cited by 2 publications

References 7 publications

Uterine Scar Condition and Complications Associated with Repeat Caesarean Section: A study in a Tertiary Care Hospital

Uterine Scar Condition and Complications Associated with Repeat Caesarean Section: A study in a Tertiary Care Hospital

“The War When You Already Have a Scar” -Study of Difficulties in Extraction of Baby in Previous Cesarean Section

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