INTRA-OPERATIVE DIFFICULTIES IN REPEAT CAESAREAN SECTIONS IN COLLEGE OF MEDICINE AND JNM HOSPITAL- A OBSERVATIONAL STUDY

Abstract

INTRODUCTION For nearly 30 years, the international healthcare community has considered the ideal rate for caesarean sections to be between 10% and 15%. This was based on the following statement by a panel of reproductive health experts at a meeting organized by the World Health Organization (WHO) in 1985 in Fortaleza, Brazil: “There is no justication for any region to have a rate higher than 10-15%”. AIM AND OBJECTIVES The Aim of study is focused on assessing importance of complications encountered by obstetrician and how to overcome it. Ÿ To look for the intra-operative difculties in a repeat Caesarean section. Ÿ To assess on table management of the complications Ÿ To estimate Post-operative management of complications. MATERIALS & METHODS Study design:It is an observational prospective study Target population:All women undergoing one or more caesarean in department of obstetrics and gynaecology. Study population:All women who have undergone one or more caesarean section. Study Duration:The study was conducted during a period of 10 months from 1stJuly 2019 to 30th April 2020. RESULTS AND ANALYSIS In our study, 88(83.8%) patients had previous 1 C/S, 16(15.2%) had 2C/S and 1(1.0%) patient had 3 C/S. In above table showed that the mean number previous C/S (mean± s.d.) of patients was 1.1714 ± .8636. The Present study revealed, 14(13.3%) patients had Preterm and 91(86.7%) patients had term. SUMMERYAND CONCLUSION Further clinical studies are needed to evaluate not only the effects of surgical techniques, andintra- operative management but also to investigate their effect son peri-operative morbidity that is associated with caesarean section. The best technique to reduce the multiple potential risks of repeat caesarean section is to reduce the rates of primary and repeat caesarean section s whenever possible.